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Contact Information

MICHELE L BENA, PA-C
12303 DEPAUL DR.
BRIDGETON, MO63044
 Phone: 314-344-6476
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHELE L BENA · (Female)

NPI Number 1720127012
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/05/2007
Last updated 03/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2007001283
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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