Benton, Jeffrey Todd

Benton, Jeffrey Todd is an individual health care provider with primary practice located at 200 Forest Glen Dr , Suffolk VA 23434-6714. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Benton, Jeffrey Todd can be contacted via phone (757) 925-6764.

Contact Information

Primary practice address
200 Forest Glen Dr Suffolk VA 23434-6714
Phone: (757) 925-6764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0813000142 Virginia

Profile Details

NPI number 1962066159
LBN Legal business name Benton, Jeffrey Todd
Credentials M.ED., ED.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Apr 24th, 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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