Benjamin, Tina Louise
Benjamin, Tina Louise is an sole proprietor health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Benjamin, Tina Louise can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 28174758A | Indiana |
Profile Details
| NPI number | 1356810154 |
|---|---|
| LBN Legal business name | Benjamin, Tina Louise |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2018 |
| Last updated | Nov 21st, 2018 - about 7 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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