Individual
JENNA M BENCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
Mailing address
5783 WOOSTER PIKE, MEDINA, OH 44256-8816
(330) 725-0569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005474RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094616458
GOLDEN RULE
—
Enumeration date
02/21/2018
Last updated
11/26/2021
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