Provider Demographics
NPI:1073638078
Name:BENOIT, MICHELE (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:
Last Name:BENOIT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:MCCLURRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:321 BILLINGSLY CT
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-6444
Mailing Address - Country:US
Mailing Address - Phone:615-261-3152
Mailing Address - Fax:615-771-5217
Practice Address - Street 1:321 BILLINGSLY CT
Practice Address - Street 2:SUITE 10
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6444
Practice Address - Country:US
Practice Address - Phone:615-261-3152
Practice Address - Fax:615-771-5217
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4054502OtherBLUE CROSS BLUE SHIELD