Merrill, Mallory Benkert
Merrill, Mallory Benkert is an individual health care provider with primary practice located at 2400 Tamarack Ave Ste 101 , South Windsor CT 06074-5556. 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. Merrill, Mallory Benkert can be contacted via phone (860) 644-4442.Contact Information
Primary practice address
2400 Tamarack Ave Ste 101
South Windsor CT 06074-5556
Phone: (860) 644-4442
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 8015 | Connecticut |
Profile Details
| NPI number | 1760948178 |
|---|---|
| LBN Legal business name | Merrill, Mallory Benkert |
| Credentials | DNP, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2019 |
| Last updated | Dec 28th, 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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