Gillen, Benjamin C

Gillen, Benjamin C is an individual health care provider with primary practice located at W231N1440 Corporate Ct , Waukesha WI 53186-1303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gillen, Benjamin C can be contacted via phone (262) 896-6000.

Contact Information

Primary practice address
W231N1440 Corporate Ct Waukesha WI 53186-1303
Phone: (262) 896-6000
Fax: (920) 288-4956
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51114 Minnesota
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01072278A Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 63398 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 63398 Wisconsin

Profile Details

NPI number 1316108343
LBN Legal business name Gillen, Benjamin C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Jun 20th, 2024 - about 6 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316108343 NPPES
Iowa MEDICAID ENROLLED
Iowa MEDICAID 100002569
Iowa MEDICAID ENROLLED

Popular Providers