Benjamin, Jeannette
Benjamin, Jeannette is an individual health care provider with primary practice located at 811 E. 11Th Street Suite 101 , Upland CA 91786. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Benjamin, Jeannette can be contacted via phone (909) 981-5970.Contact Information
Primary practice address
811 E. 11Th Street Suite 101
Upland CA 91786
Phone: (909) 981-5970
Fax: (909) 981-5980
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | A39542 | California |
Profile Details
| NPI number | 1851328835 |
|---|---|
| LBN Legal business name | Benjamin, Jeannette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1851328835 | NPPES |
| California | MEDICAID | 00A289070 |
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