Benkoff, Adrea R

Benkoff, Adrea R is an individual health care provider with primary practice located at 29753 Hoover Rd Ste A, Warren MI 48093-8900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Benkoff, Adrea R can be contacted via phone (586) 573-4333.

Contact Information

Primary practice address
29753 Hoover Rd Ste A Warren MI 48093-8900
Phone: (586) 573-4333
Fax: (586) 573-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301039828 Michigan

Profile Details

NPI number 1215930607
LBN Legal business name Benkoff, Adrea R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jun 24th, 2010 - about 16 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 1215930607 NPPES
Michigan Other 1805004581 BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 1683682 BLUE SHIELD OF MICHIGAN

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