Benner, Zachary D

Benner, Zachary D is an individual health care provider with primary practice located at 151 Adams Ln Ste 18 , Mt Juliet TN 37122-8320. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Benner, Zachary D can be contacted via phone (615) 453-8999.

Contact Information

Primary practice address
151 Adams Ln Ste 18 Mt Juliet TN 37122-8320
Phone: (615) 453-8999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000002770 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107032 Florida

Profile Details

NPI number 1811235419
LBN Legal business name Benner, Zachary D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Mar 5th, 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 1811235419 NPPES
Florida MEDICAID 008199500

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