Benjamin, Jaye E

Benjamin, Jaye E is an sole proprietor health care provider with primary practice located at 36060 Euclid Ave Suite 202, Willoughby OH 44094-4656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Benjamin, Jaye E can be contacted via phone (440) 942-4226.

Contact Information

Primary practice address
36060 Euclid Ave Suite 202 Willoughby OH 44094-4656
Phone: (440) 942-4226
Fax: (440) 942-1421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35047445B Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35047445B Ohio

Profile Details

NPI number 1649252743
LBN Legal business name Benjamin, Jaye E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2005
Last updated Aug 17th, 2020 - 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 1649252743 NPPES
Ohio MEDICAID 0493854
Ohio Other 070000640

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