Chavez, Bennie
Chavez, Bennie is an sole proprietor health care provider with primary practice located at 3113 Ross St , Amarillo TX 79103-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chavez, Bennie can be contacted via phone (806) 374-7341.Contact Information
Primary practice address
3113 Ross St
Amarillo TX 79103-2700
Phone: (806) 374-7341
Fax: (806) 322-0533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J6089 | Texas |
Profile Details
| NPI number | 1114925443 |
|---|---|
| LBN Legal business name | Chavez, Bennie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Jun 2nd, 2022 - 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 | 1114925443 | NPPES |
| Texas | Other | F01241 | UPIN |
| Texas | Other | P00060898 | UPIN |
| Texas | Other | 8B2862 | UPIN |
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