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Contact Information

MICHAEL J BENTON, P.A.-C
1919 E MEMORIAL RD
OKLAHOMA CITY, OK73131-1253
 Phone: 405-749-7099
 Fax: 405-216-5872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL J BENTON · (Male)

NPI Number 1881767556
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 11/17/2006
Last updated 12/22/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 1068
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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