Theresa M Benz, MASTECTOMY FITTER
Individual provider Active NPI Specialist · Springfield, PA
NPI 1194929265 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194929265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1435 (PA)
- Practice address
- 1001 Baltimore Pike
Suite 205
Springfield, PA 19064 - Phone
- (610) 604-0950
- Fax
- (610) 604-0970
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 1435 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theresa M. Benz | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1435 | PA | Yes |
Addresses
Primary practice location
1001 Baltimore Pike
Suite 205
Springfield, PA 19064
Mailing address
1001 Baltimore Pike
Suite 205
Springfield, PA 19064
Phone (610) 604-0950
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232916 | Other | PA | BCBS |
Other names
- Terry Benz
Other providers in Springfield, PA
- Kathleen Beaver
- Gregory A Beggs
- Frances Bell
- Tiquana Bell
- Danielle Bennett
- Melanie Berman
- Ann R. Best
- Better Life Solutions, PC
- Bio-Medical Applications of Pennsylvania, Inc.
- Bioserenity DT Inc.
All providers in Springfield, PA · Specialist in Pennsylvania
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.