National Provider Identifier Database

DAVID C BENNER
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

DAVID C BENNER
1100 BALSAM AVE
BOULDER, CO80304-3404
Phone: 303-440-2001
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Emergency 364SE0003X

* Indicates primary specialty

NPI Profile & details for DAVID C BENNER

NPI Number 1538150966
Credentials
Entity Individual
Enumeration date 11/03/2005
Last updated 05/09/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • CA License #: PA17737
  • CO License #: 2965
  • CA Medicaid: OPA177370
  • CO Medicaid: 36352861
Hospital affiliation n/a

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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