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Contact Information

BENTON FAMILY MEDICINE, LLC
188 BURT BLVD
BENTON, LA71006-4900
 Phone: 318-965-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BENTON FAMILY MEDICINE LLC · (Female)

NPI # 1811129745
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2009
Last updated 08/11/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # AP04759
  • LA License # MD09509R
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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