Cantor, Braca Benizry

Cantor, Braca Benizry is an sole proprietor health care provider with primary practice located at 1400 N Ritter Ave Ste 231 , Indianapolis IN 46219-3099. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Cantor, Braca Benizry can be contacted via phone (317) 355-7744.

Contact Information

Primary practice address
1400 N Ritter Ave Ste 231 Indianapolis IN 46219-3099
Phone: (317) 355-7744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01078170A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01078170A Indiana

Profile Details

NPI number 1487072419
LBN Legal business name Cantor, Braca Benizry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2014
Last updated Jan 24th, 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 1487072419 NPPES
Indiana MEDICAID 300017550

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