Benn, Jamila M

Benn, Jamila M is an individual health care provider with primary practice located at 8465 Old Redwood Hwy Ste 320 , Windsor CA 95492. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benn, Jamila M can be contacted via phone (707) 433-5494.

Contact Information

Primary practice address
8465 Old Redwood Hwy Ste 320 Windsor CA 95492
Fax: (707) 837-0119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1419 Virgin Islands
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036116197 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C138333 California

Profile Details

NPI number 1477564946
LBN Legal business name Benn, Jamila M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 8th, 2018 - 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 1477564946 NPPES
Illinois MEDICAID 036116197

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