Benassi, Gina M

Benassi, Gina M is an sole proprietor health care provider with primary practice located at 731 Bielenberg Drive Suite 101, Woodbury MN 55025-1700. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Benassi, Gina M can be contacted via phone (651) 578-9191.

Contact Information

Primary practice address
731 Bielenberg Drive Suite 101 Woodbury MN 55025-1700
Phone: (651) 578-9191
Fax: (651) 702-7499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2985 Minnesota

Profile Details

NPI number 1619954849
LBN Legal business name Benassi, Gina M
Credentials DC, FACO,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Oct 14th, 2011 - about 13 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 1619954849 NPPES
Other 41-1883279 FEDERAL TAX ID
Other 02B21BE FEDERAL TAX ID
Other 0446 FEDERAL TAX ID
Other 231918 FEDERAL TAX ID
Other 350002251 FEDERAL TAX ID
Other 350049060 FEDERAL TAX ID
Other 476452 FEDERAL TAX ID
MEDICAID 498528100 FEDERAL TAX ID
Other MN3755 FEDERAL TAX ID
Other 02B20BE FEDERAL TAX ID

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