Lindbloom, Benjamin J
Lindbloom, Benjamin J is an sole proprietor health care provider with primary practice located at 21 Hospital Dr Ste 110 , Palm Coast FL 32164-2453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lindbloom, Benjamin J can be contacted via phone (386) 586-1910.Contact Information
Primary practice address
21 Hospital Dr Ste 110
Palm Coast FL 32164-2453
Phone: (386) 586-1910
Fax: (386) 586-1912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME132052 | Florida |
Profile Details
| NPI number | 1699065128 |
|---|---|
| LBN Legal business name | Lindbloom, Benjamin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2011 |
| Last updated | Feb 9th, 2021 - 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 | 1699065128 | NPPES |
| Florida | MEDICAID | 020771900 | |
| Florida | Other | XJZ3J | |
| Florida | Other | JA322Z |
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