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Individual

DR. NORBERT WAYNE BENSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1301 ELMWOOD AVE, COLUMBIA, SC 29201-2107
(803) 667-8332
(803) 667-8332
Mailing address
1301 ELMWOOD AVE, COLUMBIA, SC 29201-2107
(803) 667-8332
(803) 667-8332

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
010294
NY
111N00000X
Chiropractor
Primary
3384
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
113490AN
PREFERRED CARE
NY
01
7538368
AETNA
NY
01
9416463
PCHS
NY
01
PO1110294
BLUE CHOICE
NY
01
PO20111294
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
09/25/2006
Last updated
04/09/2018
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