Provider Demographics
NPI:1225274004
Name:BENSON, MING CHU (LAC)
Entity type:Individual
Prefix:MRS
First Name:MING CHU
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 FRANCE AVE S STE 10
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2016
Mailing Address - Country:US
Mailing Address - Phone:952-926-6507
Mailing Address - Fax:
Practice Address - Street 1:6950 FRANCE AVE S STE 10
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2016
Practice Address - Country:US
Practice Address - Phone:952-926-6507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-27
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist