Benjamin, Nicole

Benjamin, Nicole is an individual health care provider with primary practice located at 1060 Emeline Ave , Santa Cruz CA 95060-1966. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Benjamin, Nicole can be contacted via phone (831) 454-5410.

Contact Information

Primary practice address
1060 Emeline Ave Santa Cruz CA 95060-1966
Fax: (831) 454-5049
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 469895 California

Profile Details

NPI number 1356535587
LBN Legal business name Benjamin, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356535587 NPPES
California Other 70042F FQHC

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