Benton, Jami Luann

Benton, Jami Luann is an individual health care provider with primary practice located at 915 E Garriott Rd Ste B , Enid OK 73701-6153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Benton, Jami Luann can be contacted via phone (580) 242-4300.

Contact Information

Primary practice address
915 E Garriott Rd Ste B Enid OK 73701-6153
Fax: (580) 242-4306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24348 Oklahoma

Profile Details

NPI number 1639224264
LBN Legal business name Benton, Jami Luann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 15th, 2019 - about 5 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 1639224264 NPPES
Oklahoma MEDICAID 20165160A

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