Provider Demographics
NPI:1568443885
Name:BENSON, ARTHUR S JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:S
Last Name:BENSON
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-3202
Mailing Address - Country:US
Mailing Address - Phone:401-944-7410
Mailing Address - Fax:401-946-4824
Practice Address - Street 1:995 PARK AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-3202
Practice Address - Country:US
Practice Address - Phone:401-944-7410
Practice Address - Fax:401-946-4824
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRIDC00124111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI44-00028OtherUNITED HEALTHCARE
RI9086-9OtherBLUE CROSS
RIT53877Medicare UPIN