Benbow, Melissa Kay

Benbow, Melissa Kay is an individual health care provider with primary practice located at 13750 S Sedona Pkwy , Lansing MI 48906-8101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Benbow, Melissa Kay can be contacted via phone (517) 669-9758.

Contact Information

Primary practice address
13750 S Sedona Pkwy Lansing MI 48906-8101
Fax: (517) 679-8232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.095877 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301104293 Michigan

Profile Details

NPI number 1053564617
LBN Legal business name Benbow, Melissa Kay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Jun 23rd, 2023 - about 3 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 1053564617 NPPES
Ohio Other 57-014989 TRAINING CERTIFICATE
Ohio MEDICAID 1053564617 TRAINING CERTIFICATE
Ohio Other 4301104293 TRAINING CERTIFICATE
Ohio Other 35.095877 TRAINING CERTIFICATE

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