Benes, Deborah

Benes, Deborah is an individual health care provider with primary practice located at 55 Lake Ave N Benedict Building, Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Benes, Deborah can be contacted via phone (774) 442-2853.

Contact Information

Primary practice address
55 Lake Ave N Benedict Building Worcester MA 01655-0002
Phone: (774) 442-2853
Fax: (508) 856-1042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN208482 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN208482 Massachusetts

Profile Details

NPI number 1548258890
LBN Legal business name Benes, Deborah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 5th, 2014 - about 12 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 1548258890 NPPES
Massachusetts MEDICAID 110083771A

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