Lish, Benjamin Tetsu

Lish, Benjamin Tetsu is an individual health care provider with primary practice located at 120 N Ashwood Ave , Ventura CA 93003-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lish, Benjamin Tetsu can be contacted via phone (805) 658-5800.

Contact Information

Primary practice address
120 N Ashwood Ave Ventura CA 93003-1810
Phone: (805) 658-5800
Fax: (805) 639-0786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A67012 California

Profile Details

NPI number 1417901067
LBN Legal business name Lish, Benjamin Tetsu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 26th, 2013 - about 11 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 1417901067 NPPES
California MEDICAID RHM08609F
California MEDICAID ZZT40394F
California MEDICAID RHM08608F
California MEDICAID RHM18553H
California Other 050394
California Other 95-1683892

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