Benton, Michelle

Benton, Michelle is an individual health care provider with primary practice located at 235 Rosedale Dr , Manchester PA 17345-1022. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Benton, Michelle can be contacted via phone (717) 812-7400.

Contact Information

Primary practice address
235 Rosedale Dr Manchester PA 17345-1022
Fax:
Website:

Profile Details

NPI number 1790304392
LBN Legal business name Benton, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2020
Last updated Apr 14th, 2020 - 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 1790304392 NPPES
Pennsylvania Other TEI001854 PA LICENSE

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