Ashley Paige Benevice

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Charles, MO

NPI 1053960930 · NPPES record last updated Sep 4, 2019

Key facts

NPI
1053960930
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
209 S Kingshighway St
Saint Charles, MO 63301-1695
Phone
(815) 277-6261
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

209 S Kingshighway St
Saint Charles, MO 63301-1695

Mailing address

211 W Fourth St
Manteno, IL 60950-1110
Phone (815) 277-6261

Other providers in Saint Charles, MO

All providers in Saint Charles, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.