Fred Benson, OWNER
Fred Benson, OWNER is a Licensed Vocational Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2022.
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
2478 Lake AveFort Wayne, IN 46805-5406
Phone: (260) 387-6396
Fax: (260) 387-6370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 27064077A (IN) |
|---|
Record details
| NPI number | 1639899297 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | No |
| NPI enumerated | September 1, 2022 |
| Last updated in NPPES | September 1, 2022 |
| Certification date | September 1, 2022 |
| Mailing address | 2478 Lake Ave, Fort Wayne, IN 46805-5406 |