Healthcare Provider Details

I. General information

NPI: 1487939997
Provider Name (Legal Business Name): MS. YVONNE (EVE) A BENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2011
Last Update Date: 10/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4188 KING AVE E PONDEROSA SCHOOL
BILLINGS MT
59102-5444
US

IV. Provider business mailing address

205 E PARK AVE
ANACONDA MT
59711-2340
US

V. Phone/Fax

Practice location:
  • Phone: 406-281-6513
  • Fax: 406-254-1875
Mailing address:
  • Phone: 406-563-8117
  • Fax: 406-563-5956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: