Prestegaard, Benjamin S
Prestegaard, Benjamin S is an individual health care provider with primary practice located at 401 Devon Pl Suite 215, Kent OH 44240-6482. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Prestegaard, Benjamin S can be contacted via phone (330) 673-9510.Contact Information
Primary practice address
401 Devon Pl Suite 215
Kent OH 44240-6482
Phone: (330) 673-9510
Fax: (330) 673-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34006978 | Ohio |
Profile Details
| NPI number | 1205904075 |
|---|---|
| LBN Legal business name | Prestegaard, Benjamin S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jan 13th, 2021 - about 3 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 | 1205904075 | NPPES |
| Ohio | MEDICAID | 2185684 |
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