Benford, Jacob

Benford, Jacob is an individual health care provider with primary practice located at 225 North Jackson Avenue , San Jose CA 95116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Benford, Jacob can be contacted via phone (408) 923-7121.

Contact Information

Primary practice address
225 North Jackson Avenue San Jose CA 95116
Phone: (408) 923-7121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD195812 Oregon
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A60475 California

Profile Details

NPI number 1063467595
LBN Legal business name Benford, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 17th, 2019 - about 5 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 1063467595 NPPES
California MEDICAID 00A604750

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