Benge, Maddison Nicole

Benge, Maddison Nicole is an individual health care provider with primary practice located at 1434 Hawn Ave , Shreveport LA 71107-6508. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Benge, Maddison Nicole can be contacted via phone (318) 675-0224.

Contact Information

Primary practice address
1434 Hawn Ave Shreveport LA 71107-6508
Phone: (318) 675-0224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Louisiana

Profile Details

NPI number 1518582105
LBN Legal business name Benge, Maddison Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2020
Last updated May 20th, 2021 - about 4 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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