Benishek, Debra L

Benishek, Debra L is an individual health care provider with primary practice located at 1496 Bellevue St Suite 101, Green Bay WI 54311-4205. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Benishek, Debra L can be contacted via phone (920) 784-2644.

Contact Information

Primary practice address
1496 Bellevue St Suite 101 Green Bay WI 54311-4205
Phone: (920) 784-2644
Fax: (920) 784-2655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 67884 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1826 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1826 Wisconsin

Profile Details

NPI number 1164441580
LBN Legal business name Benishek, Debra L
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 19th, 2020 - about 5 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 1164441580 NPPES
Wisconsin MEDICAID 43600800

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