Benjamin, Ivor

Benjamin, Ivor is an individual health care provider with primary practice located at 500 W Thomas Rd Suite 600, Phoenix AZ 85013-4224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Benjamin, Ivor can be contacted via phone (602) 406-6000.

Contact Information

Primary practice address
500 W Thomas Rd Suite 600 Phoenix AZ 85013-4224
Fax: (602) 406-7424
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 40592 Arizona

Profile Details

NPI number 1114183977
LBN Legal business name Benjamin, Ivor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2008
Last updated Apr 23rd, 2012 - about 12 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 1114183977 NPPES
Arizona MEDICAID 399522

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