Benner, Sally V

Benner, Sally V is an individual health care provider with primary practice located at 1195 Meadow Bridge Dr Ste B , Beavercreek OH 45434-4302. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Benner, Sally V can be contacted via phone (937) 426-2079.

Contact Information

Primary practice address
1195 Meadow Bridge Dr Ste B Beavercreek OH 45434-4302
Fax: (937) 426-0211
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.0000606 Ohio

Profile Details

NPI number 1871638353
LBN Legal business name Benner, Sally V
Credentials MA LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jan 11th, 2008 - about 16 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 1871638353 NPPES
Ohio Other 000000212111 ANTHEM
Ohio Other 14842215002 ANTHEM
Ohio Other 338149 ANTHEM
Ohio Other 02099000 ANTHEM

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