Stork, Benjamin Fair
Stork, Benjamin Fair is an individual health care provider with primary practice located at 2240 Winrow Rd , Fort Huachuca AZ 85613-5080. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Stork, Benjamin Fair can be contacted via phone (520) 533-5574.Contact Information
Primary practice address
2240 Winrow Rd
Fort Huachuca AZ 85613-5080
Phone: (520) 533-5574
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 02004570A | Indiana |
Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 02004570A | Indiana |
Profile Details
NPI number | 1295176626 |
---|---|
LBN Legal business name | Stork, Benjamin Fair |
Credentials | DO, MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2013 |
Last updated | Jul 16th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295176626 | NPPES |
Indiana | Other | 02004570A | MEDICAL LICENSE |
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