Faulstick, Benjamin John

Faulstick, Benjamin John is an individual health care provider with primary practice located at 2420 Wilson Ave , Madison IN 47250-2135. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as his primary health care specialty. Faulstick, Benjamin John can be contacted via phone (812) 265-8226.

Contact Information

Primary practice address
2420 Wilson Ave Madison IN 47250-2135
Phone: (812) 265-8226
Fax: (812) 265-8227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1366004194
LBN Legal business name Faulstick, Benjamin John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2019
Last updated Jul 3rd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366004194 NPPES
Indiana Other 222Q00000X INDIANA FIRST STEPS

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