Benford, Charlene
Benford, Charlene is an individual health care provider with primary practice located at 25 Kessel Ct #200, Madison WI 53711-6227. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Benford, Charlene can be contacted via phone (608) 278-8200.Contact Information
Primary practice address
25 Kessel Ct #200
Madison WI 53711-6227
Phone: (608) 278-8200
Fax: (608) 833-6932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 131 | Wisconsin |
Profile Details
| NPI number | 1902874803 |
|---|---|
| LBN Legal business name | Benford, Charlene |
| Credentials | CADC III |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 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 | 1902874803 | NPPES |
| Wisconsin | MEDICAID | 39367900 |
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