Micheal A Benamon
Individual provider Active NPI Independent Duty Medical Technicians · Fort Rucker, AL
NPI 1972749554 · NPPES record last updated Jan 2, 2009
Key facts
- NPI
- 1972749554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333 - Phone
- (334) 255-7169
- Fax
- (334) 255-7173
- NPI assigned
- Jan 2, 2009
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Mailing address
301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Phone (334) 255-7169
Other providers in Fort Rucker, AL
- John Louis Bates
- Richard Bauer
- Lorita Baughman
- James Darren Beasley
- Janishka Beauford
- Jennifer Benincasa
- Jennifer R Bennett
- Joseph Bennett
- Stephen Adam Bernstein
- John Christopher Berry
All providers in Fort Rucker, AL · Independent Duty Medical Technicians in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2009. 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.