Nathaniel Benjamin
Individual provider Active NPI Athletic Trainer · Newark, DE
NPI 1891449997 · NPPES record last updated Feb 8, 2022
Key facts
- NPI
- 1891449997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 142 E Main St Apt 206
Newark, DE 19711-7548 - Phone
- (607) 341-2350
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
142 E Main St Apt 206
Newark, DE 19711-7548
Mailing address
142 E Main St Apt 206
Newark, DE 19711-7548
Phone (607) 341-2350
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2022. 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.