Benjamin, Michelle A

Benjamin, Michelle A is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Benjamin, Michelle A can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030
Phone: (713) 792-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2743 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102571 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102571 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102571 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12456 Texas

Profile Details

NPI number 1558354878
LBN Legal business name Benjamin, Michelle A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 8th, 2019 - about 6 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 1558354878 NPPES
Florida MEDICAID 292175800
Florida Other DA5786
Florida MEDICAID 394511501
Florida Other 1497748743
Florida Other 394511502

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