Provider Demographics
NPI:1376133561
Name:BENSON, CHRISTOPHER ERIK
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ERIK
Last Name:BENSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5779 CAPE JEWELS TRL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6915
Mailing Address - Country:US
Mailing Address - Phone:619-417-0620
Mailing Address - Fax:
Practice Address - Street 1:5779 CAPE JEWELS TRL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-6915
Practice Address - Country:US
Practice Address - Phone:619-417-0620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies