Provider Demographics
NPI:1114687845
Name:BENJAMIN, ALAINA M
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:M
Last Name:BENJAMIN
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 1:165 S OPDYKE RD LOT 224
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3179
Mailing Address - Country:US
Mailing Address - Phone:313-523-1360
Mailing Address - Fax:
Practice Address - Street 1:165 S OPDYKE RD LOT 224
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-3179
Practice Address - Country:US
Practice Address - Phone:313-523-1360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator