Individual
JOHN FRANCIS BENECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 W. MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202
(317) 274-0275
Mailing address
1130 W. MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202
(317) 274-0275
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02006497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104150597
ANTHEM PTAN
IN
05
—
300050694
—
IN
Enumeration date
03/24/2020
Last updated
11/22/2024
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