Benincosa, Brooke Davis
Benincosa, Brooke Davis is an sole proprietor health care provider with primary practice located at 2891 Evergreen Park Dr , Huntsville UT 84317-9686. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Benincosa, Brooke Davis can be contacted via phone (801) 497-1872.Contact Information
Primary practice address
2891 Evergreen Park Dr
Huntsville UT 84317-9686
Phone: (801) 497-1872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / General Practice | 163WG0000X | 8145482-3102 | Utah |
Profile Details
| NPI number | 1194440180 |
|---|---|
| LBN Legal business name | Benincosa, Brooke Davis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2022 |
| Last updated | Oct 11th, 2022 - about 3 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 | 1194440180 | NPPES |
| Utah | MEDICAID | 8014971872 |
Popular Providers
-
Bobay, Kathleen Lynn
668 Westfield Way Apt C, Pewaukee WI 53072-6547 -
Rose, Robert Eugene
6839 S Canton Ave , Tulsa OK 74136-3402 -
Woods, Anna Denise
605 Medical Ct Ste 201 , Brenham TX 77833-5406 -
Beard, Rhonda Adcock
801 Stubbs Ave Ste C , Monroe LA 71201-5566 -
Pickler, Rita H
1100 E. Leigh Street Box 980567, Richmond VA 23219 -
Gordon, Diana L
7920 Conser St , Overland Park KS 66204-3460 -
Mccluskey, Bonnie J
10 Tri Park Way , Appleton WI 54914-1658 -
Baudoin D'Ajoux, Frederick Jean
10470 Valentine Rd S , Tallahassee FL 32317-8606