Benedict, Holly J.

Benedict, Holly J. is an individual health care provider with primary practice located at 1106 W Jackson St , Ozark MO 65721-9164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benedict, Holly J. can be contacted via phone (417) 581-3548.

Contact Information

Primary practice address
1106 W Jackson St Ozark MO 65721-9164
Phone: (417) 581-3548
Fax: (417) 581-6164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4N58 Missouri

Profile Details

NPI number 1790874931
LBN Legal business name Benedict, Holly J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated May 2nd, 2013 - 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 1790874931 NPPES
Missouri MEDICAID 202863817

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