Benoit, Gena L.R.

Benoit, Gena L.R. is an individual health care provider with primary practice located at 1345 W Central Park Ave , Davenport IA 52804-1844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benoit, Gena L.R. can be contacted via phone (563) 421-4400.

Contact Information

Primary practice address
1345 W Central Park Ave Davenport IA 52804-1844
Phone: (563) 421-4400
Fax: (563) 421-4449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33633 Iowa

Profile Details

NPI number 1730184003
LBN Legal business name Benoit, Gena L.R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Apr 20th, 2021 - about 3 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 1730184003 NPPES
Other 4796890003 DMERC
Other IA01C8 DMERC
Other 080185468 DMERC
Other 077432 DMERC
MEDICAID 3192799 DMERC
Other 143695 DMERC
Other 55817 DMERC

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