Individual
JEFF A BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0501
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005014
—
SC
05
—
01838875
—
PA
01
—
0504464
PHP
SC
01
—
1061000
WORK COMP
WV
01
—
1189849
FIRST HEALTH
SC
01
—
2023740
EVOLUTIONS
SC
01
—
3099820
GHI
SC
01
—
434035
ONE HEALTH PLAN
SC
01
—
521523
FOCUS HEALTHCARE
SC
05
—
6906038
—
NC
01
—
7251177
AETNA
SC
01
—
82645
MEDCOST
SC
01
—
A156
NC UHC
NC
Enumeration date
03/20/2006
Last updated
10/14/2011
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