Benjamin, Brent
Benjamin, Brent is an individual health care provider with primary practice located at 1280 116Th Ave Ne Suite 210, Bellevue WA 98004-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Benjamin, Brent can be contacted via phone (425) 646-0922.Contact Information
Primary practice address
1280 116Th Ave Ne Suite 210
Bellevue WA 98004-3803
Phone: (425) 646-0922
Fax: (425) 646-0925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD00024777 | Washington |
Profile Details
| NPI number | 1780650622 |
|---|---|
| LBN Legal business name | Benjamin, Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780650622 | NPPES |
| Washington | MEDICAID | 8139099 |
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