Maxson, Benjamin James
Maxson, Benjamin James is an individual health care provider with primary practice located at 13020 N Telecom Pkwy , Temple Terrace FL 33637-0925. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Maxson, Benjamin James can be contacted via phone (813) 978-9700.Contact Information
Primary practice address
13020 N Telecom Pkwy
Temple Terrace FL 33637-0925
Phone: (813) 978-9700
Fax: (813) 558-6489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 58.003176 | Ohio |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS12558 | Florida |
Profile Details
| NPI number | 1124353677 |
|---|---|
| LBN Legal business name | Maxson, Benjamin James |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2009 |
| Last updated | Jan 27th, 2020 - about 5 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 | 1124353677 | NPPES |
| Florida | Other | PENDING | BCBS |
| Florida | Other | PENDING | BCBS |
| Florida | MEDICAID | 012465000 | BCBS |
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