Rawalt, Benjamin

Rawalt, Benjamin is an individual health care provider with primary practice located at 325 Maine St , Lawrence KS 66044-1360. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Rawalt, Benjamin can be contacted via phone (785) 505-3350.

Contact Information

Primary practice address
325 Maine St Lawrence KS 66044-1360
Phone: (785) 505-3350
Fax: (785) 505-2874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 141628 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 78860 Kansas

Profile Details

NPI number 1861058455
LBN Legal business name Rawalt, Benjamin
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated Oct 26th, 2023 - about 2 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 1861058455 NPPES
Kansas MEDICAID 30004643160001

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