Forbush, Benjamin Wyatt
Forbush, Benjamin Wyatt is an individual health care provider with primary practice located at Va Medical Ctr # 112 215 North Main Street, White River Junction VT 05009-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Forbush, Benjamin Wyatt can be contacted via phone (802) 295-9363.Contact Information
Primary practice address
Va Medical Ctr # 112 215 North Main Street
White River Junction VT 05009-0001
Phone: (802) 295-9363
Fax: (802) 291-6262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12698 | New Hampshire |
Profile Details
| NPI number | 1558382929 |
|---|---|
| LBN Legal business name | Forbush, Benjamin Wyatt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 16th, 2007 - about 18 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 | 1558382929 | NPPES |
| New Hampshire | MEDICAID | 30205618 | |
| New Hampshire | MEDICAID | 0RE8547 |
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