Stahl, Benjamin Adam

Stahl, Benjamin Adam is an sole proprietor health care provider with primary practice located at 1430 South Main Street Suite 111, Boerne TX 78006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stahl, Benjamin Adam can be contacted via phone (830) 331-8585.

Contact Information

Primary practice address
1430 South Main Street Suite 111 Boerne TX 78006
Phone: (830) 331-8585
Fax: (830) 331-8586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N1905 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10025929 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X N1905 Texas

Profile Details

NPI number 1104958230
LBN Legal business name Stahl, Benjamin Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated May 10th, 2010 - about 15 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 1104958230 NPPES
Texas MEDICAID 01287686

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