Earle, Benjamin

Earle, Benjamin is an sole proprietor health care provider with primary practice located at 4430 Missouri Ave , Fort Leonard Wood MO 65473-9098. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Earle, Benjamin can be contacted via phone (573) 596-0035.

Contact Information

Primary practice address
4430 Missouri Ave Fort Leonard Wood MO 65473-9098
Phone: (573) 596-0035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1669017562
LBN Legal business name Earle, Benjamin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2019
Last updated Nov 24th, 2019 - about 6 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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