Debbie K Benjamin
Individual provider Active NPI Lodging Provider · Hugo, OK
NPI 1124190921 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124190921
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lodging Provider 177F00000X
- License
- 177F00000X (OK)
- Practice address
- 922 N 4240 Rd
Hugo, OK 74743-6903 - Phone
- (580) 326-2535
- Fax
- (580) 326-2535
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177F00000X | OK | MD | Lodging Provider |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lodging Provider | 177F00000X | 177F00000X | OK | Yes |
Addresses
Primary practice location
922 N 4240 Rd
Hugo, OK 74743-6903
Mailing address
922 N 4240 Rd
Hugo, OK 74743-6903
Phone (580) 326-2535
Other providers in Hugo, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.