Provider Demographics
NPI:1457467888
Name:BENCE, ARTHUR LOGAN (MSW)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LOGAN
Last Name:BENCE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 274
Mailing Address - Street 2:
Mailing Address - City:WEST HYANNISPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02672-0274
Mailing Address - Country:US
Mailing Address - Phone:508-776-4589
Mailing Address - Fax:
Practice Address - Street 1:161 HARBOR HILLS ROAD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632
Practice Address - Country:US
Practice Address - Phone:508-776-4589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10174691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1851942Medicaid
MAP05916OtherBLUE CROSS BLUE SHEILD OF
MAP05916OtherBLUE CROSS BLUE SHEILD OF