Benton, James

Benton, James is an individual health care provider with primary practice located at 781 Black Oak Dr Suite 102, Medford OR 97504-9502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Benton, James can be contacted via phone (541) 789-4236.

Contact Information

Primary practice address
781 Black Oak Dr Suite 102 Medford OR 97504-9502
Phone: (541) 789-4236
Fax: (541) 789-5965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD10154 Oregon

Profile Details

NPI number 1003959412
LBN Legal business name Benton, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 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 1003959412 NPPES
Oregon MEDICAID 287513

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