Aubergine, Benito W.

Aubergine, Benito W. is an individual health care provider with primary practice located at 1200 S Columbia Rd - Altru Hospital , Grand Forks ND 58201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Aubergine, Benito W. can be contacted via phone (701) 780-5000.

Contact Information

Primary practice address
1200 S Columbia Rd - Altru Hospital Grand Forks ND 58201
Phone: (701) 780-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036121374 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11216 North Dakota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 53450-020 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 57475 Minnesota

Profile Details

NPI number 1073718169
LBN Legal business name Aubergine, Benito W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jun 18th, 2024 - about 6 months 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 1073718169 NPPES
Illinois MEDICAID 0361213741

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