Benoit, Michael John

Benoit, Michael John is an individual health care provider with primary practice located at 1322 Elton Rd Suite D, Jennings LA 70546-4138. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Benoit, Michael John can be contacted via phone (337) 824-1111.

Contact Information

Primary practice address
1322 Elton Rd Suite D Jennings LA 70546-4138
Phone: (337) 824-1111
Fax: (337) 824-1122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 024980 Louisiana
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 024980 Louisiana

Profile Details

NPI number 1235199795
LBN Legal business name Benoit, Michael John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Feb 29th, 2016 - about 9 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 1235199795 NPPES
Other 45-0506014 TAX ID
MEDICAID 1445151 TAX ID

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