Friesen, Benjamin Cale

Friesen, Benjamin Cale is an individual health care provider with primary practice located at 1915 Lake Ave , Plymouth IN 46563-9366. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Friesen, Benjamin Cale can be contacted via phone (574) 948-4000.

Contact Information

Primary practice address
1915 Lake Ave Plymouth IN 46563-9366
Phone: (574) 948-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 28203358A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008991A Indiana

Profile Details

NPI number 1366905275
LBN Legal business name Friesen, Benjamin Cale
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2019
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366905275 NPPES
Other 28203358A INDIANA STATE BOARD OF NURSING
Other 71008991A INDIANA STATE BOARD OF NURSING

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