Betteridge, Benjamin Bryce
Betteridge, Benjamin Bryce is an sole proprietor health care provider with primary practice located at 3733 So Thompson Ave , Tacoma WA 98418. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Betteridge, Benjamin Bryce can be contacted via phone (253) 472-4473.Contact Information
Primary practice address
3733 So Thompson Ave
Tacoma WA 98418
Phone: (253) 472-4473
Fax: (253) 474-3056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 2948311205 | Utah |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | MD00043643 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 294831-1205 | Utah |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | MD00043643 | Washington |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 43643 | Washington |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 43643 | Washington |
Profile Details
| NPI number | 1225007388 |
|---|---|
| LBN Legal business name | Betteridge, Benjamin Bryce |
| Credentials | MD, CAQ SPORTS MEDIC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 31st, 2023 - about 2 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 | 1225007388 | NPPES |
| Utah | MEDICAID | 942854058788-D6149 |
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