Benjamin, Junitha J
Benjamin, Junitha J is an sole proprietor health care provider with primary practice located at 125 E Grubb Dr Ste 109 , Mesquite TX 75149-3402. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Benjamin, Junitha J can be contacted via phone (972) 285-6349.Contact Information
Primary practice address
125 E Grubb Dr Ste 109
Mesquite TX 75149-3402
Phone: (972) 285-6349
Fax: (972) 289-6717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | L2801 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L2801 | Texas |
Profile Details
| NPI number | 1912014978 |
|---|---|
| LBN Legal business name | Benjamin, Junitha J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Nov 22nd, 2023 - about last year |
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 | 1912014978 | NPPES |
| Texas | MEDICAID | 166123307 |
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