Individual
MARK E BENESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1454 28TH AVE, COLUMBUS, NE 68601-4944
(402) 564-2816
(402) 564-1312
Mailing address
1454 28TH AVE, COLUMBUS, NE 68601-4944
(402) 564-2816
(402) 564-1312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52300
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240471
COVENTRY FOR CCH
NE
01
—
38702
BCBS NE FOR CCH
NE
01
—
4319
MIDLANDS CHOICE FOR CCH
NE
05
—
47055169400
—
NE
Enumeration date
06/01/2005
Last updated
01/11/2021
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