Bensch, Gregory William
Bensch, Gregory William is an individual health care provider with primary practice located at 4628 Georgetown Pl , Stockton CA 95207-6204. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bensch, Gregory William can be contacted via phone (209) 478-6177.Contact Information
Primary practice address
4628 Georgetown Pl
Stockton CA 95207-6204
Phone: (209) 478-6177
Fax: (209) 478-6219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A61795 | California |
Profile Details
| NPI number | 1710950589 |
|---|---|
| LBN Legal business name | Bensch, Gregory William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710950589 | NPPES |
| California | MEDICAID | 00A617950 | |
| California | Other | ZZZ75721Z |
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