Provider Demographics
NPI:1326008152
Name:BENZSCHAWEL, JAMES M (DC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:BENZSCHAWEL
Suffix:
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 1:2201 58TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-4236
Mailing Address - Country:US
Mailing Address - Phone:727-202-7250
Mailing Address - Fax:727-207-7256
Practice Address - Street 1:2201 58TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-4236
Practice Address - Country:US
Practice Address - Phone:727-202-7250
Practice Address - Fax:727-207-7256
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4030-012111N00000X
FLCH11208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL104213700Medicaid
WI38955100Medicaid
WI38955100Medicaid