Benites, Jacquelyn

Benites, Jacquelyn is an individual health care provider with primary practice located at 357 East St , Plainville CT 06062-3260. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Benites, Jacquelyn can be contacted via phone (860) 793-9048.

Contact Information

Primary practice address
357 East St Plainville CT 06062-3260
Phone: (860) 793-9048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740846518
LBN Legal business name Benites, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2019
Last updated May 16th, 2019 - about 7 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 1740846518 NPPES
Connecticut Other XGC0575M20743 BLUE CROSS BLUE SHIELD

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