Organization
BENICOMP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J. SHORT (PRESIDENT/CEO)
(260) 482-7400
Entity
Organization
Contact information
Practice address
8310 CLINTON PARK DRIVE, FORT WAYNE, IN 46825-3171
(260) 482-7400
(260) 469-2984
Mailing address
8310 CLINTON PARK DRIVE, FORT WAYNE, IN 46825-3171
(260) 482-7400
(260) 469-2984
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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