Individual
DR. TIMOTHY S BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2150 302ND AVE, FORT MADISON, IA 52627-9708
(319) 372-4204
(319) 376-1204
Mailing address
2150 302ND AVE, FORT MADISON, IA 52627-9708
(319) 372-4204
(319) 376-1204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05520
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066993
—
IA
01
—
45997
BLUE CROSS
IA
Enumeration date
05/17/2006
Last updated
04/22/2008
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