Benton, Julie L

Benton, Julie L is an individual health care provider with primary practice located at 315 E Northfield Rd , Livingston NJ 07039-4896. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Benton, Julie L can be contacted via phone (973) 436-1780.

Contact Information

Primary practice address
315 E Northfield Rd Livingston NJ 07039-4896
Phone: (973) 436-1780
Fax: (908) 673-7157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN156361 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00283100 New Jersey

Profile Details

NPI number 1356533970
LBN Legal business name Benton, Julie L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Oct 25th, 2017 - about 9 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 1356533970 NPPES
Georgia MEDICAID 642321603A
Georgia MEDICAID 642321603E
Georgia MEDICAID 642321603B
Georgia MEDICAID 642321603D
Georgia MEDICAID 642321603C

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