Individual
PAUL D BENINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R023547
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006253
SD BLUE CROSS IND #
SD
01
—
0030016
SD BLUE CROSS GROUP#
SD
05
—
006965500
—
MN
01
—
013K7BE
MN BCBS PROV#
MN
05
—
0573493
—
IA
05
—
460224743-48
—
NE
05
—
5750954
—
SD
05
—
5750955
—
SD
Enumeration date
07/07/2006
Last updated
05/09/2014
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