Guevara, Benjamin Gray
Guevara, Benjamin Gray is an individual health care provider with primary practice located at 100 Medical Center Dr , Slidell LA 70461-5520. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Guevara, Benjamin Gray can be contacted via phone (985) 646-5550.Contact Information
Primary practice address
100 Medical Center Dr
Slidell LA 70461-5520
Phone: (985) 646-5550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.204393 | Louisiana |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | MD.204393 | Louisiana |
Profile Details
| NPI number | 1679797385 |
|---|---|
| LBN Legal business name | Guevara, Benjamin Gray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Dec 1st, 2015 - about 9 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 | 1679797385 | NPPES |
| Louisiana | MEDICAID | 2153862 | |
| Louisiana | MEDICAID | 03500001 |
Popular Providers
-
Smith, Lyman S-W
3001 Edwards Mill Rd , Raleigh NC 27612-5243 -
Sanchez, Anthony Richard
4350 Limelight Ave Ste 100 , Castle Rock CO 80109-8034 -
Fields, Robert H
7301 Medical Center Drive Suite 400, West Hills CA 91307-1988 -
Isbell, William M
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Kindl, Brian Thomas
1810 Lindberg Dr Ste 1400 , Slidell LA 70458-8064 -
Cooper, Jerald L
7601 W Jefferson Blvd , Fort Wayne IN 46804-4133 -
Wyker, Robert T
3001 Edwards Mill Rd Suite 200, Raleigh NC 27612-5243 -
Habashy, Alexander
104 Medical Center Dr , Slidell LA 70461-5575