Benne, Michael George

Benne, Michael George is an individual health care provider with primary practice located at 504 Nw 10Th Ave. , Ava MO 65608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Benne, Michael George can be contacted via phone (417) 683-4831.

Contact Information

Primary practice address
504 Nw 10Th Ave. Ava MO 65608
Phone: (417) 683-4831
Fax: (417) 683-1602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD0000034580 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009035422 Missouri

Profile Details

NPI number 1982786471
LBN Legal business name Benne, Michael George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 29th, 2024 - about 2 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 1982786471 NPPES
Tennessee Other 4120779 BCBS OF TN
Tennessee MEDICAID 3337428 BCBS OF TN

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