Benjamin, Lynne

Benjamin, Lynne is an individual health care provider with primary practice located at 44 Dale Rd , Avon CT 06001-4315. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Benjamin, Lynne can be contacted via phone (860) 674-8830.

Contact Information

Primary practice address
44 Dale Rd Avon CT 06001-4315
Phone: (860) 674-8830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5854 Connecticut

Profile Details

NPI number 1134528946
LBN Legal business name Benjamin, Lynne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2014
Last updated Jun 24th, 2021 - about 4 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 1134528946 NPPES
Connecticut MEDICAID 186509
Connecticut Other P01712120

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