Benes, Deborah
Benes, Deborah is an individual health care provider with primary practice located at 55 Lake Ave N Benedict Building, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Benes, Deborah can be contacted via phone (774) 442-2853.Contact Information
Primary practice address
55 Lake Ave N Benedict Building
Worcester MA 01655-0002
Phone: (774) 442-2853
Fax: (508) 856-1042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN208482 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN208482 | Massachusetts |
Profile Details
| NPI number | 1548258890 |
|---|---|
| LBN Legal business name | Benes, Deborah |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Mar 5th, 2014 - about 11 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 | 1548258890 | NPPES |
| Massachusetts | MEDICAID | 110083771A |
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