Healthcare Provider Details

I. General information

NPI: 1619013414
Provider Name (Legal Business Name): DANIEL FELIX BENSKY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4507 SUNNYSIDE AVE N UNIT C
SEATTLE WA
98103-6954
US

IV. Provider business mailing address

4507 SUNNYSIDE AVE N UNIT C
SEATTLE WA
98103-6954
US

V. Phone/Fax

Practice location:
  • Phone: 206-524-2724
  • Fax: 206-547-4370
Mailing address:
  • Phone: 206-524-2724
  • Fax: 206-547-4370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOP00001059
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: