Benson, Bobby

Benson, Bobby is an sole proprietor health care provider with primary practice located at 2671 Las Vegas Blvd North , N. Las Vegas NV 89030. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Benson, Bobby can be contacted via phone (702) 649-3529.

Contact Information

Primary practice address
2671 Las Vegas Blvd North N. Las Vegas NV 89030
Fax: (702) 642-5102
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13553 Nevada

Profile Details

NPI number 1114149507
LBN Legal business name Benson, Bobby
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114149507 NPPES
Nevada MEDICAID 2902080

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