Benton, Mindy L

Benton, Mindy L is an individual health care provider with primary practice located at 1020 Bandana Blvd W , Saint Paul MN 55108-5107. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Benton, Mindy L can be contacted via phone (651) 641-7000.

Contact Information

Primary practice address
1020 Bandana Blvd W Saint Paul MN 55108-5107
Phone: (651) 641-7000
Fax: (651) 641-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 515 Minnesota

Profile Details

NPI number 1043307739
LBN Legal business name Benton, Mindy L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 11th, 2021 - about 5 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 1043307739 NPPES
Minnesota MEDICAID 533718600

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