Supernova, Benjamine Elijah

Supernova, Benjamine Elijah is an individual health care provider with primary practice located at 213 Midland Blvd , Shelbyville KY 40065-7791. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Supernova, Benjamine Elijah can be contacted via phone (502) 647-0154.

Contact Information

Primary practice address
213 Midland Blvd Shelbyville KY 40065-7791
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1770284036
LBN Legal business name Supernova, Benjamine Elijah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2023
Last updated Mar 14th, 2023 - 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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