Baccus, John Benjamin

Baccus, John Benjamin is an individual health care provider with primary practice located at 500 Arcade Ave Ste 200 , Elkhart IN 46514-2485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Baccus, John Benjamin can be contacted via phone (574) 294-8404.

Contact Information

Primary practice address
500 Arcade Ave Ste 200 Elkhart IN 46514-2485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01072136A Indiana

Profile Details

NPI number 1508831157
LBN Legal business name Baccus, John Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508831157 NPPES
Indiana MEDICAID 201141150

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