Benzing, Jonathan
Benzing, Jonathan is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Benzing, Jonathan can be contacted via phone (920) 320-3100.Contact Information
Primary practice address
1650 S 41St St
Manitowoc WI 54220-7316
Phone: (920) 320-3100
Fax: (920) 320-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 13395-24 | Wisconsin |
Profile Details
| NPI number | 1164976320 |
|---|---|
| LBN Legal business name | Benzing, Jonathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2016 |
| Last updated | Aug 5th, 2016 - about 9 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 | 1164976320 | NPPES |
| Wisconsin | MEDICAID | 1700998697 |
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