Benassi, Gina M
Benassi, Gina M is an sole proprietor health care provider with primary practice located at 731 Bielenberg Drive Suite 101, Woodbury MN 55025-1700. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Benassi, Gina M can be contacted via phone (651) 578-9191.Contact Information
Primary practice address
731 Bielenberg Drive Suite 101
Woodbury MN 55025-1700
Phone: (651) 578-9191
Fax: (651) 702-7499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2985 | Minnesota |
Profile Details
| NPI number | 1619954849 |
|---|---|
| LBN Legal business name | Benassi, Gina M |
| Credentials | DC, FACO, |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Oct 14th, 2011 - about 15 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 | 1619954849 | NPPES |
| Other | 41-1883279 | FEDERAL TAX ID | |
| Other | 02B21BE | FEDERAL TAX ID | |
| Other | 0446 | FEDERAL TAX ID | |
| Other | 231918 | FEDERAL TAX ID | |
| Other | 350002251 | FEDERAL TAX ID | |
| Other | 350049060 | FEDERAL TAX ID | |
| Other | 476452 | FEDERAL TAX ID | |
| MEDICAID | 498528100 | FEDERAL TAX ID | |
| Other | MN3755 | FEDERAL TAX ID | |
| Other | 02B20BE | FEDERAL TAX ID |
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