Wood, Benjamin
Wood, Benjamin is an sole proprietor health care provider with primary practice located at 2560 Pulgas Ave , East Palo Alto CA 94303-1323. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wood, Benjamin can be contacted via phone (866) 325-6466.Contact Information
Primary practice address
2560 Pulgas Ave
East Palo Alto CA 94303-1323
Phone: (866) 325-6466
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 59696 | Texas |
Profile Details
| NPI number | 1124513296 |
|---|---|
| LBN Legal business name | Wood, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2018 |
| Last updated | Jun 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124513296 | NPPES |
| California | Other | ASW83240 | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
| California | Other | LCSW59696 | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
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