Healthcare Provider Details

I. General information

NPI: 1174692313
Provider Name (Legal Business Name): BENHEL INDUSTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 BRIARWOOD DR
NASHVILLE TN
37211-5125
US

IV. Provider business mailing address

5101 BRIARWOOD DR
NASHVILLE TN
37211-5125
US

V. Phone/Fax

Practice location:
  • Phone: 781-883-1629
  • Fax:
Mailing address:
  • Phone: 781-883-1629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MS. JANET ANN BENOIT
Title or Position: OWNER
Credential:
Phone: 781-883-1629