Benzoni, Nicole S

Benzoni, Nicole S is an individual health care provider with primary practice located at 1800 Nw Myhre Rd , Silverdale WA 98383-7663. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Benzoni, Nicole S can be contacted via phone (360) 744-6525.

Contact Information

Primary practice address
1800 Nw Myhre Rd Silverdale WA 98383-7663
Phone: (360) 744-6525
Fax: (360) 744-8530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2020039005 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2020013242 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 2020039005 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD61251859 Washington

Profile Details

NPI number 1174053706
LBN Legal business name Benzoni, Nicole S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2017
Last updated Sep 21st, 2022 - about 2 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 1174053706 NPPES
Washington MEDICAID 2211804

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