Jeremy Benacka

Name

Jeremy Benacka

Year of birth

1968

Source

USA - Health and Human Services List of Excluded Individuals and Entities

Aliases

Jeremy Benacka

Privacy Request

Additional Information

General: IND- LIC HC SERV PRO

Specialty: PHYSICAL THERAPY

Medical license number: 1174001010

Address: 16720 73RD PL N

City: MAPLE GROVE

State: MN

Zip code: 55311

Exclusion type: Conviction of program-related crimes. Minimum Period: 5 years (Social Security Act: 1128(a)(1), 42 USC §: 1320a-7(a)(1))

Exclusion date: 2022-09-20


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