Benton, Calvin Boyd
Benton, Calvin Boyd is an sole proprietor health care provider with primary practice located at 3031 Telegraph Ave Suite 217, Berkeley CA 94705-2053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Benton, Calvin Boyd can be contacted via phone (510) 981-8222.Contact Information
Primary practice address
3031 Telegraph Ave Suite 217
Berkeley CA 94705-2053
Phone: (510) 981-8222
Fax: (510) 568-8848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | C34382 | California |
Profile Details
| NPI number | 1265584924 |
|---|---|
| LBN Legal business name | Benton, Calvin Boyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 9th, 2009 - about 15 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 | 1265584924 | NPPES |
| California | MEDICAID | 00C343820 |
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