Provider Demographics
NPI:1194406033
Name:BENEFIELD, ANNEKE MARIE
Entity type:Individual
Prefix:MRS
First Name:ANNEKE
Middle Name:MARIE
Last Name:BENEFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1266 W GALBRAITH RD APT 1
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5594
Mailing Address - Country:US
Mailing Address - Phone:513-473-3984
Mailing Address - Fax:513-672-2771
Practice Address - Street 1:270 NORTHLAND BLVD STE 210
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246-3653
Practice Address - Country:US
Practice Address - Phone:888-847-7262
Practice Address - Fax:513-672-2771
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN917425172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver