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NPI Code Detail

MEDICARE: MARK E BENESCH P.A.

MEDICARE:   MARK E BENESCH  P.A.
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
1363AM0700XMedical Physician Assistant52300NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1240471OTHERNECOVENTRY FOR CCH
24319OTHERNEMIDLANDS CHOICE FOR CCH
338702OTHERNEBCBS NE FOR CCH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932101292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK E BENESCH P.A.
Provider Business Mailing Address
First Line : 1454 28TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4944
Country : US
Telephone Number : 402-564-2816
Fax Number : 402-564-1312
Provider Business Practice Location Address
First Line : 1454 28TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4944
Country : US
Telephone Number : 402-564-2816
Fax Number : 402-564-1312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 01/11/2021

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Directions to “ MARK E BENESCH P.A.” Practice Location

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