Anjalique Benham

Individual provider Active NPI Case Manager/Care Coordinator · Salem, NH

NPI 1225577240 · NPPES record last updated Feb 23, 2017

Key facts

NPI
1225577240
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5 Lancelot CT
Apt#1
Salem, NH 03079-3555
Phone
(781) 600-5596
NPI assigned
Feb 23, 2017
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

5 Lancelot CT
Apt#1
Salem, NH 03079-3555

Mailing address

5 Lancelot CT
Apt#1
Salem, NH 03079-3555
Phone (781) 600-5596

Other providers in Salem, NH

All providers in Salem, NH · Case Manager/Care Coordinator in New Hampshire

Sources for this page

Verify at the official NPI Registry.