Bennison, Jill M

Bennison, Jill M is an sole proprietor health care provider with primary practice located at 479 Parsons Ave , Columbus OH 43215-5577. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Bennison, Jill M can be contacted via phone (614) 722-5136.

Contact Information

Primary practice address
479 Parsons Ave Columbus OH 43215-5577
Phone: (614) 722-5136
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN.CNP.06567 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.06567 Ohio

Profile Details

NPI number 1487640819
LBN Legal business name Bennison, Jill M
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Feb 24th, 2022 - about 2 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 1487640819 NPPES
Ohio MEDICAID 3032024
Ohio Other H195090

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