Healthcare Provider Details

I. General information

NPI: 1932073152
Provider Name (Legal Business Name): CHARLES H BENSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 BERTRAND DR
DOVER DE
19904-3469
US

IV. Provider business mailing address

138 BERTRAND DR
DOVER DE
19904-3469
US

V. Phone/Fax

Practice location:
  • Phone: 302-399-5757
  • Fax:
Mailing address:
  • Phone: 302-399-5757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number860668
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: