Benning, Lisa Ann
Benning, Lisa Ann is an individual health care provider with primary practice located at 701 N 1St St , Springfield IL 62702-3757. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Benning, Lisa Ann can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
701 N 1St St
Springfield IL 62702-3757
Phone: (217) 528-7541
Fax: (217) 753-0815
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036078400 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036078400 | Illinois |
Profile Details
NPI number | 1689672289 |
---|---|
LBN Legal business name | Benning, Lisa Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2005 |
Last updated | Sep 25th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689672289 | NPPES |
Illinois | MEDICAID | 036078400 |
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