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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1922369859 NPPES
Florida Other LS576 PTAN
Florida Other ME118384 PTAN

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