Stage, Benjamin M

Stage, Benjamin M is an sole proprietor health care provider with primary practice located at 1136 Oliver Rd , Monroe LA 71201-5714. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stage, Benjamin M can be contacted via phone (318) 322-3250.

Contact Information

Primary practice address
1136 Oliver Rd Monroe LA 71201-5714
Phone: (318) 322-3250
Fax: (318) 322-3260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 012235 Louisiana

Profile Details

NPI number 1366512428
LBN Legal business name Stage, Benjamin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jun 29th, 2015 - about 9 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 1366512428 NPPES
Louisiana Other 72-1396339 TAX ID PEGASUS MEDICAL SERVICES, INC.
Louisiana Other 721145487 TAX ID PEGASUS MEDICAL SERVICES, INC.
Louisiana Other 721304084 TAX ID PEGASUS MEDICAL SERVICES, INC.

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