Fair, Benny
Fair, Benny is an sole proprietor health care provider with primary practice located at 2700 Lafayette St Suite 120, Fort Wayne IN 46806-1100. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Fair, Benny can be contacted via phone (260) 458-9953.Contact Information
Primary practice address
2700 Lafayette St Suite 120
Fort Wayne IN 46806-1100
Phone: (260) 458-9953
Fax: (260) 458-9238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 07000728 | Indiana |
Profile Details
| NPI number | 1295838365 |
|---|---|
| LBN Legal business name | Fair, Benny |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jan 2nd, 2025 - about last year |
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 | 1295838365 | NPPES |
| Other | 000000331259 | BLUE CROSS | |
| MEDICAID | 100082090A | BLUE CROSS | |
| Other | P00128864 | BLUE CROSS |
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