Stewart, Benjamin Leslie

Stewart, Benjamin Leslie is an sole proprietor health care provider with primary practice located at 1100 Montour Rd , Loysville PA 17047-9200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stewart, Benjamin Leslie can be contacted via phone (717) 789-3553.

Contact Information

Primary practice address
1100 Montour Rd Loysville PA 17047-9200
Fax: (717) 789-3198
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS013979 Pennsylvania

Profile Details

NPI number 1558587253
LBN Legal business name Stewart, Benjamin Leslie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Dec 11th, 2015 - about 10 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 1558587253 NPPES
Pennsylvania MEDICAID 1021844000001

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