Abeyta, Benjamin A

Abeyta, Benjamin A is an individual health care provider with primary practice located at 2999 N Mayfair Rd , Wauwatosa WI 53222-4306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Abeyta, Benjamin A can be contacted via phone (414) 479-7000.

Contact Information

Primary practice address
2999 N Mayfair Rd Wauwatosa WI 53222-4306
Phone: (414) 479-7000
Fax: (414) 479-7001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 65699 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 65699 Wisconsin

Profile Details

NPI number 1447511597
LBN Legal business name Abeyta, Benjamin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2012
Last updated Nov 18th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447511597 NPPES
Wisconsin Other 65699 WI STATE LICENSE

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