Benson, Mark Palmer
Benson, Mark Palmer is an individual health care provider with primary practice located at 707 North 7Th , Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Benson, Mark Palmer can be contacted via phone (208) 233-4562.Contact Information
Primary practice address
707 North 7Th
Pocatello ID 83201
Phone: (208) 233-4562
Fax: (208) 234-4638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M3650 | Idaho |
Profile Details
| NPI number | 1629145198 |
|---|---|
| LBN Legal business name | Benson, Mark Palmer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Nov 10th, 2011 - about 14 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 | 1629145198 | NPPES |
| Idaho | Other | CP9190 | RAILROAD MEDICARE GRP # |
| Idaho | Other | 29296 | RAILROAD MEDICARE GRP # |
| Idaho | Other | 0000100001648 | RAILROAD MEDICARE GRP # |
| Idaho | MEDICAID | 002440600 | RAILROAD MEDICARE GRP # |
| Idaho | Other | 110042845 | RAILROAD MEDICARE GRP # |
| Idaho | Other | 36509 | RAILROAD MEDICARE GRP # |
| Idaho | Other | 88765 | RAILROAD MEDICARE GRP # |
| Idaho | MEDICAID | 003608500 | RAILROAD MEDICARE GRP # |
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