Individual
ERIC ROBERT BENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HS3
Contact information
Practice address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8597
Mailing address
4000 COAST GUARD BLVD, PORTSMOUTH, VA 23703-2135
(757) 483-8597
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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