Williams, Benjamin Jerome
Williams, Benjamin Jerome is an individual health care provider with primary practice located at 11107 Ulysses St Ne Ste 100 , Blaine MN 55434-4264. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Williams, Benjamin Jerome can be contacted via phone (763) 333-7733.Contact Information
Primary practice address
11107 Ulysses St Ne Ste 100
Blaine MN 55434-4264
Phone: (763) 333-7733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 8281 | Minnesota |
Profile Details
| NPI number | 1376299107 |
|---|---|
| LBN Legal business name | Williams, Benjamin Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2022 |
| Last updated | Mar 2nd, 2022 - about 2 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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