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NPI Code Detail

MEDICARE: DR. DARRIN J BENZING M.D.

MEDICARE: DR. DARRIN J BENZING M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician4301058550MI
2207R00000XInternal Medicine Physician4301058550MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11105900431OTHERMIBLUE CROSS BLUE SHIELD
2010A660000OTHERMIBLUE CROSS GROUP NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447293618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARRIN J BENZING M.D.
Provider Business Mailing Address
First Line : PO BOX 419
Second Line :
City : CHEBOYGAN
State : MI
Zip : 49721-0419
Country : US
Telephone Number : 231-627-5601
Fax Number : 231-627-1471
Provider Business Practice Location Address
First Line : 1140 N STATE ST
Second Line :
City : SAINT IGNACE
State : MI
Zip : 49781-1048
Country : US
Telephone Number : 906-643-8585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/07/2023

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