Benton, Carlisa
Benton, Carlisa is an sole proprietor health care provider with primary practice located at 1211 Parkside Blvd , Toledo OH 43607-3765. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Benton, Carlisa can be contacted via phone (419) 690-4136.Contact Information
Primary practice address
1211 Parkside Blvd
Toledo OH 43607-3765
Phone: (419) 690-4136
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X |
Profile Details
| NPI number | 1093310740 |
|---|---|
| LBN Legal business name | Benton, Carlisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2020 |
| Last updated | Dec 1st, 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 | 1093310740 | NPPES |
| Ohio | MEDICAID | 0320187 |
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