Benjamin, Tucker J
Benjamin, Tucker J is an sole proprietor health care provider with primary practice located at W11052 457Th Ave , Prescott WI 54021-7657. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Benjamin, Tucker J can be contacted via phone (651) 890-7110.Contact Information
Primary practice address
W11052 457Th Ave
Prescott WI 54021-7657
Phone: (651) 890-7110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1477003127 |
|---|---|
| LBN Legal business name | Benjamin, Tucker J |
| Credentials | ATS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2016 |
| Last updated | Oct 6th, 2016 - about 8 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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