Benotti, Joseph Ralph
Benotti, Joseph Ralph is an sole proprietor health care provider with primary practice located at 123 Summer St Suite 660, Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Benotti, Joseph Ralph can be contacted via phone (508) 363-6330.Contact Information
Primary practice address
123 Summer St Suite 660
Worcester MA 01608-1216
Phone: (508) 363-6330
Fax: (508) 363-7555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 40836 | Massachusetts |
Profile Details
NPI number | 1861487761 |
---|---|
LBN Legal business name | Benotti, Joseph Ralph |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2005 |
Last updated | Oct 25th, 2010 - about 14 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 | 1861487761 | NPPES |
Massachusetts | MEDICAID | 2070189 | |
Massachusetts | Other | 300275 | |
Massachusetts | Other | 45921 | |
Massachusetts | Other | 0022212 | |
Massachusetts | Other | 040836 | |
Massachusetts | Other | 25-00766 | |
Massachusetts | Other | 37986 | |
Massachusetts | Other | 987754 | |
Massachusetts | Other | 2294752 | |
Massachusetts | MEDICAID | 003069318 | |
Massachusetts | Other | 060059416 | |
Massachusetts | Other | N01821 |
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