Behnen, Michele

Behnen, Michele is an individual health care provider with primary practice located at 1510 Crown Drive , Kirksville MO 63501-5047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Behnen, Michele can be contacted via phone (660) 627-3621.

Contact Information

Primary practice address
1510 Crown Drive Kirksville MO 63501-5047
Fax: (660) 627-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 104748 Missouri

Profile Details

NPI number 1477539716
LBN Legal business name Behnen, Michele
Credentials RNCSFNPGNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Nov 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477539716 NPPES
Missouri MEDICAID 424692317

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