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Contact Information

MARK E BENESCH, PA
1454 28TH AVE
COLUMBUS, NE68601-4944
 Phone: 402-564-2816
 Fax: 402-564-1312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARK E BENESCH · (Male)

NPI # 1932101292
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/01/2005
Last updated 01/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 52300
  • NE Medicaid 47055169400
  • NE Other 38702 BCBS NE FOR CCH
  • NE Other 240471 COVENTRY FOR CCH
  • NE Other 4319 MIDLANDS CHOICE FOR CCH
Hospital affiliation(s)
  • COLUMBUS COMMUNITY HOSPITAL - (Acute Care)
    4600 38TH ST
    COLUMBUS, NE 68601
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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