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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295893899 NPPES
Michigan MEDICAID 2764248

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