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Contact Information

MICHAEL BENUSA, IDC
226 WOODLAND DR
RAEFORD, NC28376-5410
 Phone: 910-853-1290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for MICHAEL BENUSA · (Male)

NPI # 1851762215
Status Active
Credentials IDC
Entity Individual
Enumeration date 10/12/2015
Last updated 10/12/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers Not Available
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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