Troy, Benjamin Louis

Troy, Benjamin Louis is an individual health care provider with primary practice located at 230 East Day Road Suite 160, Mishawaka IN 46545-3463. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Troy, Benjamin Louis can be contacted via phone (574) 271-8222.

Contact Information

Primary practice address
230 East Day Road Suite 160 Mishawaka IN 46545-3463
Phone: (574) 271-8222
Fax: (574) 271-8896
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 47532-020 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 47532-020 Wisconsin
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01065732A Indiana

Profile Details

NPI number 1144337791
LBN Legal business name Troy, Benjamin Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Apr 20th, 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 1144337791 NPPES
Indiana MEDICAID 200912290

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