Benson, Tina

Benson, Tina is an sole proprietor health care provider with primary practice located at 2478 Lake Ave , Fort Wayne IN 46805-5406. She recently has 4 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Benson, Tina can be contacted via phone (260) 387-6369.

Contact Information

Primary practice address
2478 Lake Ave Fort Wayne IN 46805-5406
Phone: (260) 387-6369
Fax: (260) 387-6370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 19-012089-1 Indiana

Profile Details

NPI number 1316598964
LBN Legal business name Benson, Tina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2019
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316598964 NPPES
Indiana MEDICAID 200937350A

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