Benedek, Elissa P

Benedek, Elissa P is an sole proprietor health care provider with primary practice located at 2311 E Stadium Blvd Suite 111, Ann Arbor MI 48104-4833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Benedek, Elissa P can be contacted via phone (734) 665-0074.

Contact Information

Primary practice address
2311 E Stadium Blvd Suite 111 Ann Arbor MI 48104-4833
Fax: (734) 665-9383
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 4301024248 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X EB024248 Michigan

Profile Details

NPI number 1679615132
LBN Legal business name Benedek, Elissa P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1679615132 NPPES
Michigan Other 2618102841 BCBS PIN
Michigan Other BM810164 BCBS PIN

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