Park, Benjamin Ross

Park, Benjamin Ross is an individual health care provider with primary practice located at 22100 Bothell Everett Hwy , Bothell WA 98021-8431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Park, Benjamin Ross can be contacted via phone (208) 416-2932.

Contact Information

Primary practice address
22100 Bothell Everett Hwy Bothell WA 98021-8431
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0102205720 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0061359 Colorado

Profile Details

NPI number 1770922676
LBN Legal business name Park, Benjamin Ross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Dec 4th, 2023 - about last year

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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