Benson, Jessica Dawn
Benson, Jessica Dawn is an individual health care provider with primary practice located at 282 Alta View Dr Sw , Willis VA 24380-4915. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Benson, Jessica Dawn can be contacted via phone (540) 488-4349.Contact Information
Primary practice address
282 Alta View Dr Sw
Willis VA 24380-4915
Phone: (540) 488-4349
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0102206119 | Virginia |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 0102206119 | Virginia |
Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 0102206119 | Virginia |
Profile Details
NPI number | 1447230495 |
---|---|
LBN Legal business name | Benson, Jessica Dawn |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | May 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447230495 | NPPES |
North Carolina | MEDICAID | 1447230495 |
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