So, Peter Benson C

So, Peter Benson C is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 440 , Fort Wayne IN 46845-1672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. So, Peter Benson C can be contacted via phone (260) 373-9935.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 440 Fort Wayne IN 46845-1672
Phone: (260) 373-9935
Fax: (260) 373-9926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01057994A Indiana

Profile Details

NPI number 1578579793
LBN Legal business name So, Peter Benson C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 17th, 2022 - about 3 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 1578579793 NPPES
Indiana MEDICAID 200455540
Indiana Other P00732005
Indiana Other 000000604550

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