Individual
MELINDA S BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 MILLER RD, SWARTZ CREEK, MI 48473-1535
(810) 630-0555
Mailing address
6005 MILLER RD, SWARTZ CREEK, MI 48473-1535
(810) 630-0555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00710
MEDICARE PLUS BLUE
—
01
—
0M58150
MEDICARE
—
01
—
60054
AETNA
—
01
—
61271
MUTUAL OF OMAHA
—
01
—
98999
UNITED HEALTH CARE
—
01
—
P97868
BLUE CARE NETWORK
—
Enumeration date
10/01/2007
Last updated
10/01/2007
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