Individual
ELIZABETH BENISSAN-MESSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3677 SCIOTO DARBY RD, HILLIARD, OH 43026
(614) 921-0648
(614) 921-0544
Mailing address
5677 SCIOTO DARBY RD, HILLIARD, OH 43026-1391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1918
NE
363A00000X
Physician Assistant
Primary
50.004365
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9358461
MEDICARE GROUP
OH
Enumeration date
06/20/2015
Last updated
12/07/2015
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