Ruiz-Lagos, Jose Benjamin

Ruiz-Lagos, Jose Benjamin is an individual health care provider with primary practice located at 450 Northside Cherokee Blvd , Canton GA 30115-8015. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ruiz-Lagos, Jose Benjamin can be contacted via phone (770) 224-1000.

Contact Information

Primary practice address
450 Northside Cherokee Blvd Canton GA 30115-8015
Phone: (770) 224-1000
Fax: (770) 224-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 063948 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 063948 Georgia

Profile Details

NPI number 1740470749
LBN Legal business name Ruiz-Lagos, Jose Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Mar 12th, 2018 - about 6 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 1740470749 NPPES
Other 11934114 CAQH
MEDICAID 705366756A CAQH
MEDICAID 1740470749 CAQH

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