Benevenuto, Deborah

Benevenuto, Deborah is an sole proprietor health care provider with primary practice located at 1525 N 12Th St , Milwaukee WI 53205-2591. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Benevenuto, Deborah can be contacted via phone (414) 966-3030.

Contact Information

Primary practice address
1525 N 12Th St Milwaukee WI 53205-2591
Phone: (414) 966-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 74599-20 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 74599-20 Wisconsin

Profile Details

NPI number 1588221253
LBN Legal business name Benevenuto, Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2019
Last updated Apr 7th, 2025 - about last year

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 1588221253 NPPES
Wisconsin MEDICAID 100149489

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