Gozon, Benjamin S

Gozon, Benjamin S is an individual health care provider with primary practice located at 8518 W Capitol Dr , Milwaukee WI 53222-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gozon, Benjamin S can be contacted via phone (414) 464-4888.

Contact Information

Primary practice address
8518 W Capitol Dr Milwaukee WI 53222-1827
Fax: (414) 464-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 42976 Wisconsin

Profile Details

NPI number 1033170428
LBN Legal business name Gozon, Benjamin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Feb 28th, 2011 - about 14 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 1033170428 NPPES
Wisconsin MEDICAID 34058300

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