Konell, Benjamin Louis

Konell, Benjamin Louis is an individual health care provider with primary practice located at 4262 Woodbine Rd , Pace FL 32571-8703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Konell, Benjamin Louis can be contacted via phone (850) 494-4600.

Contact Information

Primary practice address
4262 Woodbine Rd Pace FL 32571-8703
Phone: (850) 494-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A4871 California

Profile Details

NPI number 1164512224
LBN Legal business name Konell, Benjamin Louis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Mar 7th, 2023 - about last year

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 1164512224 NPPES
California Other 20A4871 STATE LIC. # DR. KONELL

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