Provider Demographics
NPI:1255946547
Name:BENG, CHRISTABEL
Entity type:Individual
Prefix:
First Name:CHRISTABEL
Middle Name:
Last Name:BENG
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 1:6945 ELLEN BOAT LN
Mailing Address - Street 2:
Mailing Address - City:CANAL WNCHSTR
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7913
Mailing Address - Country:US
Mailing Address - Phone:301-283-7837
Mailing Address - Fax:
Practice Address - Street 1:6945 ELLEN BOAT LN
Practice Address - Street 2:
Practice Address - City:CANAL WNCHSTR
Practice Address - State:OH
Practice Address - Zip Code:43110-7913
Practice Address - Country:US
Practice Address - Phone:301-283-7837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN526105163W00000X
376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemaker