Doctor Name: | DEAN L BENSON |
NPI Number: | 1316923964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPAC |
License Number: | 632 |
Business Practice Address: | 300 N 2nd St Oneill, NE - 687631514 |
Business Phone Number: | 4023362611 |
Business Fax Number: | 4023365137 |
Mailing Address: | 300 N 2nd St, ONEILL |
State: | NE |
Postal Code: | 687631514 |
Phone Number: | 4023362611 |
Fax Number: | 4023365137 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SM0705X |
License Number: | 632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |