Hernandez Velasco, Benjamin A.

Hernandez Velasco, Benjamin A. is an sole proprietor health care provider with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hernandez Velasco, Benjamin A. can be contacted via phone (707) 547-5437.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 547-5437
Fax: (707) 547-5430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13840 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13840 Puerto Rico
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 13840 Puerto Rico
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C150323 California

Profile Details

NPI number 1720181282
LBN Legal business name Hernandez Velasco, Benjamin A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Feb 11th, 2022 - about 2 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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