Organization Name: | BENSON PODIATRY ASSOCIATES PC |
NPI Number: | 1508006263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN PATRICK YORK (OWNER) |
Mailing Address: | 6069 Maple St Omaha |
State: | NE US |
Postal Code: | 681044050 |
Phone Number: | 4025588100 |
Fax Number: | 4025566998 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 215 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |