King, Charles Benjamin

King, Charles Benjamin is an individual health care provider with primary practice located at 430 East Main Street , Batavia NY 14020. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. King, Charles Benjamin can be contacted via phone (585) 343-1124.

Contact Information

Primary practice address
430 East Main Street Batavia NY 14020
Fax: (585) 343-1197
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 177324 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 177324 New York
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 177324 New York

Profile Details

NPI number 1497831721
LBN Legal business name King, Charles Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2006
Last updated Sep 17th, 2009 - about 15 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 1497831721 NPPES
New York MEDICAID 01202235

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