Benton Family Healthcare Llc | |
4320 S 7th St, Terre Haute, IN 47802-4301 | |
(812) 299-7000 | |
(812) 299-7001 |
Full Name | Benton Family Healthcare Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4320 S 7th St, Terre Haute, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942754445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002917A (Indiana) | Primary |
Provider Name | Jennifer Louise Benton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164763876 PECOS PAC ID: 4880831718 Enrollment ID: I20160915000089 |
Mailing Address | Practice Location Address |
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Benton Family Healthcare Llc 4320 S 7th St, Terre Haute, IN 47802-4301 Ph: (812) 299-7000 | Benton Family Healthcare Llc 4320 S 7th St, Terre Haute, IN 47802-4301 Ph: (812) 299-7000 |
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