Individual
BENJAMIN DAVID BANCHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, DNP-C
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(803) 751-2789
Mailing address
4500 STUART STREET, ROOM(S) #1-56 & 1-56A, MONCRIEF ARMY COMMUNITY HOSPITAL ATM: MCXL-PQ (CREDENTI, FORT JACKSON, SC 29207-5720
(803) 751-2789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
160115
CO
363LF0000X
Family Nurse Practitioner
Primary
993437
CO
Other
Enumeration date
07/20/2012
Last updated
04/04/2025
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