Provider Demographics
NPI:1659500254
Name:BENJAMIN, RISHIKUMAR MARSH (DC)
Entity Type:Individual
Prefix:DR
First Name:RISHIKUMAR
Middle Name:MARSH
Last Name:BENJAMIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1698 HIGHWAY 160 W
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8032
Mailing Address - Country:US
Mailing Address - Phone:803-547-9977
Mailing Address - Fax:803-547-9978
Practice Address - Street 1:1698 HIGHWAY 160 W
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8032
Practice Address - Country:US
Practice Address - Phone:803-547-9977
Practice Address - Fax:803-547-9978
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor