Benton, Deterrieo

Benton, Deterrieo is an individual health care provider with primary practice located at 1401 S Seward Meridian Pkwy Ste A&B , Wasilla AK 99654-8312. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Benton, Deterrieo can be contacted via phone (907) 929-5826.

Contact Information

Primary practice address
1401 S Seward Meridian Pkwy Ste A&B Wasilla AK 99654-8312
Phone: (907) 929-5826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1255956462
LBN Legal business name Benton, Deterrieo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2020
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255956462 NPPES
Alaska Other N.A N.A

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