Luong, Benjamin B
Luong, Benjamin B is an sole proprietor health care provider with primary practice located at 117 Foote Ave , Jamestown NY 14701-6947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Luong, Benjamin B can be contacted via phone (716) 338-9200.Contact Information
Primary practice address
117 Foote Ave
Jamestown NY 14701-6947
Phone: (716) 338-9200
Fax: (716) 338-9250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 284342 | New York |
Profile Details
| NPI number | 1336439744 |
|---|---|
| LBN Legal business name | Luong, Benjamin B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2011 |
| Last updated | Dec 4th, 2018 - about 6 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 | 1336439744 | NPPES |
| New York | MEDICAID | 04769348 |
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