Benjamin Physical Medicine, Plc

LBN: Benjamin Physical Medicine, Plc
Benjamin Physical Medicine, Plc is an health care organization with primary practice located at 373 Blair Park Rd Ste 206, Williston VT 05495-7998. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Benjamin Physical Medicine, Plc can be contacted via phone (802) 522-9699, or through Benjamin, Scott Evan via phone (802) 522-9699.

Contact Information

Primary practice address
373 Blair Park Rd Ste 206 Williston VT 05495-7998
Phone: (802) 522-9699
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Scott Evan Doctor of Medicine (MD)
Phone: (802) 522-9699

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 420010625 Vermont

Profile Details

NPI number 1376075804
LBN Legal business name Benjamin Physical Medicine, Plc
DBA Doing business as
Authorized official Benjamin, Scott Evan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2017
Last updated Apr 3rd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376075804 NPPES
Vermont Other 59537 VERMONT BC/BS
Vermont Other 44146784 VERMONT BC/BS
Vermont Other 3547305 VERMONT BC/BS
Vermont MEDICAID 02502692 VERMONT BC/BS
Vermont MEDICAID 1009844 VERMONT BC/BS
Vermont MEDICAID 30204569 VERMONT BC/BS
Vermont Other 0233J1 VERMONT BC/BS
Vermont Other 699468 VERMONT BC/BS

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