Fightmaster, Benjamin D
Fightmaster, Benjamin D is an individual health care provider with primary practice located at 1306 Gemini Cir Ste 2 , Ottawa IL 61350-1695. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fightmaster, Benjamin D can be contacted via phone (085) 081-5433.Contact Information
Primary practice address
1306 Gemini Cir Ste 2
Ottawa IL 61350-1695
Phone: (085) 081-5433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160008585 | Illinois |
Profile Details
| NPI number | 1942820352 |
|---|---|
| LBN Legal business name | Fightmaster, Benjamin D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2020 |
| Last updated | Apr 26th, 2020 - 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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