Park, Benjamin

Park, Benjamin is an individual health care provider with primary practice located at 194 Missile Ave , Minot Afb ND 58705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Park, Benjamin can be contacted via phone (701) 723-5100.

Contact Information

Primary practice address
194 Missile Ave Minot Afb ND 58705
Phone: (701) 723-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01062522A Indiana
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 01062522A Indiana

Profile Details

NPI number 1144239740
LBN Legal business name Park, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated May 23rd, 2018 - about 7 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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