Benson, Jill L

Benson, Jill L is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Benson, Jill L can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Fax: (843) 237-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200200643 North Carolina

Profile Details

NPI number 1558323113
LBN Legal business name Benson, Jill L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 16th, 2009 - about 15 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 1558323113 NPPES
South Carolina MEDICAID Q0064B
South Carolina Other 131KG
South Carolina Other 930119935
South Carolina MEDICAID 89131KG

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