Pisciotta, Benjamin P

Pisciotta, Benjamin P is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pisciotta, Benjamin P can be contacted via phone (360) 417-7000.

Contact Information

Primary practice address
939 Caroline St Port Angeles WA 98362-3909
Phone: (360) 417-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00020748 Washington

Profile Details

NPI number 1265400782
LBN Legal business name Pisciotta, Benjamin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 19th, 2007 - about 17 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 1265400782 NPPES
Washington MEDICAID 8553505
Washington Other 9160PI
Washington Other P00177500

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