Andrew, Benjamin
Andrew, Benjamin is an individual health care provider with primary practice located at 1860 Shawano Ave , Green Bay WI 54303-2667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andrew, Benjamin can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1860 Shawano Ave
Green Bay WI 54303-2667
Phone: (920) 496-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 66692-20 | Wisconsin |
Profile Details
| NPI number | 1083000863 |
|---|---|
| LBN Legal business name | Andrew, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Jul 9th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083000863 | NPPES |
| Wisconsin | MEDICAID | 1083000863 |
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