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Contact Information

BROCK BENSON
3999 N GLOSTER ST STE D
TUPELO, MS38804-0950
 Phone: 662-778-2002
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for BROCK BENSON · (Male)

NPI # 1205685047
Status Active
Credentials
Entity Individual
Enumeration date 05/14/2024
Last updated 06/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MS License # 4447-24
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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