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NPI Code Detail

MEDICARE: SAGE MICHELE BENINTENDI-STRINGER PA

MEDICARE:   SAGE MICHELE BENINTENDI-STRINGER  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00913OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21040304OTHERPACIFIC SOURCE

General Provider Information

NPI Number : 1902985740
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAGE MICHELE BENINTENDI-STRINGER PA
Provider Business Mailing Address
First Line : 1100 NW 12TH ST
Second Line :
City : FRUITLAND
State : ID
Zip : 83619-5040
Country : US
Telephone Number : 208-452-6556
Fax Number : 541-216-6557
Provider Business Practice Location Address
First Line : 1100 NW 12TH ST
Second Line :
City : FRUITLAND
State : ID
Zip : 83619-5040
Country : US
Telephone Number : 208-452-6556
Fax Number : 541-216-6557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 08/16/2023

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Directions to “ SAGE MICHELE BENINTENDI-STRINGER PA” Practice Location

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