Dudley, Benjamin C
Dudley, Benjamin C is an individual health care provider with primary practice located at 770 Mason St , Vacaville CA 95688-4646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Dudley, Benjamin C can be contacted via phone (707) 454-5800.Contact Information
Primary practice address
770 Mason St
Vacaville CA 95688-4646
Phone: (707) 454-5800
Fax: (707) 454-5809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 13996 | Nevada |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A136154 | California |
Profile Details
| NPI number | 1669682811 |
|---|---|
| LBN Legal business name | Dudley, Benjamin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jun 29th, 2015 - about 9 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 | 1669682811 | NPPES |
| Louisiana | MEDICAID | 07938 |
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