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
Fax: (208) 234-4638
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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