Joseph R Benham III, ATC
Individual provider Active NPI Athletic Trainer · Greenville, NH
NPI 1003950221 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003950221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 256 (NH)
- Practice address
- 6 Titan LN
Greenville, NH 03048-3323 - Phone
- (603) 878-6026
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256 | NH | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 256 | NH | Yes |
Addresses
Primary practice location
6 Titan LN
Greenville, NH 03048-3323
Mailing address
6 Titan LN
Greenville, NH 03048-3323
Phone (603) 878-6026
Other providers in Greenville, NH
All providers in Greenville, NH · Athletic Trainer in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.