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Contact Information

THOMAS W BENNINGER, MD
4121 DUTCHMANS LN
SUITE #101
LOUISVILLE, KY40207-4707
 Phone: 502-897-2531
 Fax: 502-896-5863
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for THOMAS W BENNINGER · (Male)

NPI # 1619979382
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2005
Last updated 04/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 22073
  • KY Medicaid 64220734
  • Other 000000247202 ANTHEM
  • Other 50000083 PASSPORT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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