Jessie, Benjamin Chase

Jessie, Benjamin Chase is an individual health care provider with primary practice located at 504 Redmond Rd Nw , Rome GA 30165-1416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jessie, Benjamin Chase can be contacted via phone (762) 235-2200.

Contact Information

Primary practice address
504 Redmond Rd Nw Rome GA 30165-1416
Phone: (762) 235-2200
Fax: (706) 236-6434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 060645 Georgia

Profile Details

NPI number 1700062825
LBN Legal business name Jessie, Benjamin Chase
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2008
Last updated Apr 27th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700062825 NPPES
Georgia MEDICAID 878725603B
Georgia MEDICAID 878725603A

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