Ingram, Benjamin W. J.
Ingram, Benjamin W. J. is an sole proprietor health care provider with primary practice located at 2528 Nw 109Th St , Oklahoma City OK 73120-7118. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Ingram, Benjamin W. J. can be contacted via phone (405) 981-7091.Contact Information
Primary practice address
2528 Nw 109Th St
Oklahoma City OK 73120-7118
Phone: (405) 981-7091
Fax: (405) 228-7047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X |
Profile Details
| NPI number | 1205550316 |
|---|---|
| LBN Legal business name | Ingram, Benjamin W. J. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2022 |
| Last updated | Oct 3rd, 2022 - about 4 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 | 1205550316 | NPPES |
| Oklahoma | Other | EF999447760 | NONE |
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