Gaston, Benjamin M.

Gaston, Benjamin M. is an individual health care provider with primary practice located at 705 Riley Hospital Dr # 4270 , Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Gaston, Benjamin M. can be contacted via phone (317) 948-7208.

Contact Information

Primary practice address
705 Riley Hospital Dr # 4270 Indianapolis IN 46202-5109
Fax: (317) 944-7247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 0101038298 Virginia
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 01082297A Indiana

Profile Details

NPI number 1427177666
LBN Legal business name Gaston, Benjamin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jan 20th, 2021 - about 3 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 1427177666 NPPES
Ohio MEDICAID 0074463
Ohio MEDICAID 006713912

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