John, Benjamin
John, Benjamin is an individual health care provider with primary practice located at 1217 Kearney St Ste 3, Port Huron MI 48060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. John, Benjamin can be contacted via phone (810) 984-5001.Contact Information
Primary practice address
1217 Kearney St Ste 3
Port Huron MI 48060
Phone: (810) 984-5001
Fax: (810) 984-2420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301033555 | Michigan |
Profile Details
| NPI number | 1700808227 |
|---|---|
| LBN Legal business name | John, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1700808227 | NPPES |
| Michigan | MEDICAID | 1360467 |
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