Ezekiel, Bennett J.
Ezekiel, Bennett J. is an individual health care provider with primary practice located at 1900 Scenic Dr Ste 1108 , Georgetown TX 78626-7724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Ezekiel, Bennett J. can be contacted via phone (512) 400-4195.Contact Information
Primary practice address
1900 Scenic Dr Ste 1108
Georgetown TX 78626-7724
Phone: (512) 400-4195
Fax: (512) 287-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | N6287 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | N6287 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | N6287 | Texas |
Profile Details
| NPI number | 1477734721 |
|---|---|
| LBN Legal business name | Ezekiel, Bennett J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Feb 17th, 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 | 1477734721 | NPPES |
| Texas | MEDICAID | 282030002 | |
| Texas | MEDICAID | 282030003 |
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