Benner, Jacqueline M

Benner, Jacqueline M is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Benner, Jacqueline M can be contacted via phone (313) 916-2600.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085003068 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003068 Michigan

Profile Details

NPI number 1730376229
LBN Legal business name Benner, Jacqueline M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Oct 16th, 2017 - about 8 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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