Healthcare Provider Details
I. General information
NPI: 1093080079
Provider Name (Legal Business Name): BENEFICIAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2012
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 W MAPLE ST SUITE 1
HARTVILLE OH
44632-8551
US
IV. Provider business mailing address
450 W MAPLE ST SUITE 1
HARTVILLE OH
44632-8551
US
V. Phone/Fax
- Phone: 330-877-2011
- Fax: 330-877-2077
- Phone: 330-877-2011
- Fax: 330-877-2077
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
L
KNOP
III
Title or Position: PRESIDENT
Credential: DC, DACRB
Phone: 330-877-2203