Enrile, Benedicta G
Enrile, Benedicta G is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as her primary health care specialty. Enrile, Benedicta G can be contacted via phone (614) 722-2438.Contact Information
Primary practice address
555 S 18Th St
Columbus OH 43205-2654
Phone: (614) 722-2438
Fax: (614) 722-4966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 35034843 | Ohio |
Profile Details
| NPI number | 1023010907 |
|---|---|
| LBN Legal business name | Enrile, Benedicta G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Sep 24th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023010907 | NPPES |
| West Virginia | MEDICAID | 0105149000 | |
| West Virginia | MEDICAID | 64789043 | |
| West Virginia | MEDICAID | 0252524 |
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