Dr. Michael John Benoit
Internist Adolescent Medicine
1322 Elton Rd Suite D
Jennings
, Louisiana 70546-4138
Dr. Michael John Benoit
Internist Adolescent Medicine
1322 Elton Rd Suite D
Jennings
, Louisiana 70546-4138
(337) 824-1122
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About
Features
Specialties
- Internist
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael John Benoit
- 1322 Elton Rd Suite D
- Jennings, LA
- Zip : 70546-4138
- Fax : (337) 824-1122
- Phone : (337) 824-1111
Second Address
- Dr. Michael John Benoit
- 1322 Elton Rd Suite D
- Jennings, LA
- Zip : 70546-4138
- Fax : (337) 824-1122
- Phone : (337) 824-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 024980 | LA |
| N | 111NI0900X | Internist | 024980 | LA |
| Y | 2080A0000X | Adolescent Medicine | 024980 | LA |
National Provider Identifier
| NPI | 1235199795 |
|---|---|
| Provider Name | Dr. Michael John Benoit |
| First Address | Jennings, LA 70546-4138 |
| Second Address | Jennings, LA 70546-4138 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2006 |
| Last Update Date | 29/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1445151 | (05) | LA |
| 45-0506014 | TAX ID (01) | |
| 5CF62 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.