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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

NPI Number 1811129745
LBN Legal business name BENTON FAMILY MEDICINE, LLC
Authorized official KELLEY NOVAK - (PHYSICIAN ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2009
Last updated 08/11/2009 - About 17 years ago
Identifiers
LA License # AP04759
LA License # MD09509R
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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