Prom, Ben

Prom, Ben is an individual health care provider with primary practice located at 8505 Old Dairy Rd , Juneau AK 99801-6921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Prom, Ben can be contacted via phone (907) 790-4111.

Contact Information

Primary practice address
8505 Old Dairy Rd Juneau AK 99801-6921
Phone: (907) 790-4111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1629733415
LBN Legal business name Prom, Ben
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2021
Last updated Nov 5th, 2021 - about 4 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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