Provider Demographics
NPI:1720069487
Name:BENKERT, MARY CHRISTINE (DC)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CHRISTINE
Last Name:BENKERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:240 BEDFORD ST
Mailing Address - Street 2:STE 5
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-3434
Mailing Address - Country:US
Mailing Address - Phone:781-862-7411
Mailing Address - Fax:781-862-0600
Practice Address - Street 1:240 BEDFORD ST
Practice Address - Street 2:STE 5
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-3434
Practice Address - Country:US
Practice Address - Phone:781-862-7411
Practice Address - Fax:781-862-0600
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA545111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
4400632OtherUNITED HEALTH CARE
545954OtherAETNA
MA791028OtherTUFTS HEALTH CARE
MAAA6676OtherHARVARD PILGRIM INS CO
MA2395397001OtherCIGNA HEALTHCARE
545954OtherAETNA
MAAA6676OtherHARVARD PILGRIM INS CO
MA2395397001OtherCIGNA HEALTHCARE