Benjevin, Elizabeth M

Benjevin, Elizabeth M is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benjevin, Elizabeth M can be contacted via phone (774) 443-3886.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (774) 443-3886
Fax: (774) 443-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57532 Massachusetts

Profile Details

NPI number 1619941648
LBN Legal business name Benjevin, Elizabeth M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 2nd, 2020 - about 4 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 1619941648 NPPES
Other J06798 BLUE SHIELD INDEMNITY
Other 042472266 BLUE SHIELD INDEMNITY
Other 26725 BLUE SHIELD INDEMNITY
Other 0100248 BLUE SHIELD INDEMNITY
Other 042472266 BLUE SHIELD INDEMNITY
MEDICAID 110047185A BLUE SHIELD INDEMNITY
Other 080129483 BLUE SHIELD INDEMNITY
Other J06798 BLUE SHIELD INDEMNITY
Other J06798 BLUE SHIELD INDEMNITY
Other 6980911 BLUE SHIELD INDEMNITY
Other 042472266 BLUE SHIELD INDEMNITY
Other 4040531 BLUE SHIELD INDEMNITY
Other AA1184 BLUE SHIELD INDEMNITY
Other 4040531 BLUE SHIELD INDEMNITY
Other 917508 BLUE SHIELD INDEMNITY
Other 9900801 BLUE SHIELD INDEMNITY

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