Individual
TIMOTHY FRED BENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
2880 COMMONWEALTH DR UNIT 418, SPRING HILL, TN 37174-3177
(615) 614-1708
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3158
TN
363A00000X
Physician Assistant
Primary
—
IN
363AM0700X
Medical Physician Assistant
103774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103774
LICENSE NUMBER
NC
Enumeration date
10/11/2005
Last updated
09/26/2024
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