Benton, Tracey Ann
Benton, Tracey Ann is an sole proprietor health care provider with primary practice located at 416 Xenia Ave , Yellow Springs OH 45387-1836. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Benton, Tracey Ann can be contacted via phone (937) 767-9171.Contact Information
Primary practice address
416 Xenia Ave
Yellow Springs OH 45387-1836
Phone: (937) 767-9171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 992261 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I 1302471 | Ohio |
Profile Details
| NPI number | 1639488901 |
|---|---|
| LBN Legal business name | Benton, Tracey Ann |
| Credentials | L.I.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2010 |
| Last updated | Jun 18th, 2013 - about 11 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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