Rendon, Benjamin

Rendon, Benjamin is an individual health care provider with primary practice located at 1624 Cimarron Plz , Stillwater OK 74075-3467. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Rendon, Benjamin can be contacted via phone (053) 722-2024.

Contact Information

Primary practice address
1624 Cimarron Plz Stillwater OK 74075-3467
Phone: (053) 722-2024
Fax: (405) 372-2237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1194014241
LBN Legal business name Rendon, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194014241 NPPES
Oklahoma MEDICAID K081700089

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