Campos-Benitez, Mauricio
Campos-Benitez, Mauricio is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Campos-Benitez, Mauricio can be contacted via phone (570) 808-6026.Contact Information
Primary practice address
1000 E Mountain Blvd
Wilkes Barre PA 18711-0027
Phone: (570) 808-6026
Fax: (570) 808-7943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD438891 | Pennsylvania |
Profile Details
| NPI number | 1700028180 |
|---|---|
| LBN Legal business name | Campos-Benitez, Mauricio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2009 |
| Last updated | Aug 6th, 2020 - about 4 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 | 1700028180 | NPPES |
| Tennessee | Other | 44919 | MEDICAL LICENSE |
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