Benson, Mark
Benson, Mark is an individual health care provider with primary practice located at 78120 Wildcat Dr , Palm Desert CA 92211-1140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Benson, Mark can be contacted via phone (760) 340-2682.Contact Information
Primary practice address
78120 Wildcat Dr
Palm Desert CA 92211-1140
Phone: (760) 340-2682
Fax: (760) 773-9695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A4564 | California |
Profile Details
| NPI number | 1760506745 |
|---|---|
| LBN Legal business name | Benson, Mark |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 27th, 2020 - about 6 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 | 1760506745 | NPPES |
| California | Other | 1174577613 | NPI |
| California | MEDICAID | GR0069290 | NPI |
| California | MEDICAID | 00AX45640 | NPI |
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