Marshall, Benjamin Grant
Marshall, Benjamin Grant is an sole proprietor health care provider with primary practice located at 1785 Garden St , Titusville FL 32796-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marshall, Benjamin Grant can be contacted via phone (321) 269-9612.Contact Information
Primary practice address
1785 Garden St
Titusville FL 32796-3221
Phone: (321) 269-9612
Fax: (321) 269-8433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD208003 | Louisiana |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TRN 17849 | Florida |
Profile Details
| NPI number | 1922369859 |
|---|---|
| LBN Legal business name | Marshall, Benjamin Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jan 4th, 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 | 1922369859 | NPPES |
| Florida | Other | LS576 | PTAN |
| Florida | Other | ME118384 | PTAN |
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