Healthcare Provider Details

I. General information

NPI: 1942304944
Provider Name (Legal Business Name): MORRIS C. BENSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 07/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 N GREEN ST
VALENTINE NE
69201-1932
US

IV. Provider business mailing address

510 N GREEN ST
VALENTINE NE
69201-1932
US

V. Phone/Fax

Practice location:
  • Phone: 402-376-2525
  • Fax: 402-376-1627
Mailing address:
  • Phone: 402-376-2525
  • Fax: 402-376-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22820
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: