Benacker, Jean A
Benacker, Jean A is an sole proprietor health care provider with primary practice located at 1701 S Prospect Ave Suite 205, Champaign IL 61820-7050. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benacker, Jean A can be contacted via phone (217) 352-9206.Contact Information
Primary practice address
1701 S Prospect Ave Suite 205
Champaign IL 61820-7050
Phone: (217) 352-9206
Fax: (217) 352-9186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003677 | Illinois |
Profile Details
| NPI number | 1093825101 |
|---|---|
| LBN Legal business name | Benacker, Jean A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 21st, 2010 - about 14 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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