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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295176626 NPPES
Indiana Other 02004570A MEDICAL LICENSE

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