Benejam, Roberto
Benejam, Roberto is an sole proprietor health care provider with primary practice located at 13700 Michigan Ave , Dearborn MI 48126-3489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Benejam, Roberto can be contacted via phone (313) 581-8442.Contact Information
Primary practice address
13700 Michigan Ave
Dearborn MI 48126-3489
Phone: (313) 581-8442
Fax: (313) 581-8486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301053915 | Michigan |
Profile Details
| NPI number | 1295893899 |
|---|---|
| LBN Legal business name | Benejam, Roberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295893899 | NPPES |
| Michigan | MEDICAID | 2764248 |
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