Benjamin, Jean

Benjamin, Jean is an individual health care provider with primary practice located at 210 E Olin Ave , Madison WI 53713-1434. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Benjamin, Jean can be contacted via phone (608) 807-1428.

Contact Information

Primary practice address
210 E Olin Ave Madison WI 53713-1434
Phone: (608) 807-1428
Fax: (608) 808-1429
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 114257-30 Wisconsin

Profile Details

NPI number 1609350578
LBN Legal business name Benjamin, Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - 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 1609350578 NPPES
Wisconsin Other 114257-30 RN LICENSE

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