Bennerson, Masum Abdul Khabir

Bennerson, Masum Abdul Khabir is an sole proprietor health care provider with primary practice located at 85 Ramona Expy Ste 123 , Perris CA 92571-7014. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bennerson, Masum Abdul Khabir can be contacted via phone (951) 349-4195.

Contact Information

Primary practice address
85 Ramona Expy Ste 123 Perris CA 92571-7014
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1255933297
LBN Legal business name Bennerson, Masum Abdul Khabir
Credentials PRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2020
Last updated Nov 13th, 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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