Benison, Roxanne Patricia
Benison, Roxanne Patricia is an sole proprietor health care provider with primary practice located at 22 Glen Ed Professional Park Ste B , Glen Carbon IL 62034-3300. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Benison, Roxanne Patricia can be contacted via phone (618) 659-2030.Contact Information
Primary practice address
22 Glen Ed Professional Park Ste B
Glen Carbon IL 62034-3300
Phone: (618) 659-2030
Fax: (618) 659-2035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 021-002093 | Illinois |
Profile Details
| NPI number | 1285651703 |
|---|---|
| LBN Legal business name | Benison, Roxanne Patricia |
| Credentials | DMD MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 15th, 2019 - 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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