Benedict, Marilyn Doris Fisk
Benedict, Marilyn Doris Fisk is an sole proprietor health care provider with primary practice located at 2693 Highway 77 North Suite 2103, Waxahachie TX 75165. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Benedict, Marilyn Doris Fisk can be contacted via phone (972) 617-7787.Contact Information
Primary practice address
2693 Highway 77 North Suite 2103
Waxahachie TX 75165
Phone: (972) 617-7787
Fax: (972) 617-2268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 02357 | Texas |
Profile Details
| NPI number | 1083829352 |
|---|---|
| LBN Legal business name | Benedict, Marilyn Doris Fisk |
| Credentials | MS LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | May 7th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083829352 | NPPES |
| Texas | MEDICAID | 026485502 |
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