Benda, John Michael
Benda, John Michael is an sole proprietor health care provider with primary practice located at 4005 W 65Th St Suite #216, Edina MN 55435-1720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Benda, John Michael can be contacted via phone (612) 929-0781.Contact Information
Primary practice address
4005 W 65Th St Suite #216
Edina MN 55435-1720
Phone: (612) 929-0781
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13217 | Minnesota |
Profile Details
| NPI number | 1194723288 |
|---|---|
| LBN Legal business name | Benda, John Michael |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 1st, 2008 - about 18 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 | 1194723288 | NPPES |
| Minnesota | Other | 57G30BE | BLUE CROSS BLUE SHIELD |
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