Koo, Benjamin
Koo, Benjamin is an individual health care provider with primary practice located at 1959 Ne Pacific St Box 356465, Seattle WA 98195-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is his primary health care specialty. Koo, Benjamin can be contacted via phone (206) 616-5207.Contact Information
Primary practice address
1959 Ne Pacific St Box 356465
Seattle WA 98195-0001
Phone: (206) 616-5207
Fax: (206) 685-8100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A126449 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD181184 | Oregon |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | 60652306 | Washington |
Profile Details
| NPI number | 1801154695 |
|---|---|
| LBN Legal business name | Koo, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2012 |
| Last updated | Aug 23rd, 2022 - about 3 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 | 1801154695 | NPPES |
| Oregon | MEDICAID | 500738375 |
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