Abeyta, Benjamin A
Abeyta, Benjamin A is an individual health care provider with primary practice located at 2999 N Mayfair Rd , Wauwatosa WI 53222-4306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Abeyta, Benjamin A can be contacted via phone (414) 479-7000.Contact Information
Primary practice address
2999 N Mayfair Rd
Wauwatosa WI 53222-4306
Phone: (414) 479-7000
Fax: (414) 479-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 65699 | Wisconsin |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 65699 | Wisconsin |
Profile Details
| NPI number | 1447511597 |
|---|---|
| LBN Legal business name | Abeyta, Benjamin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Nov 18th, 2021 - 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 | 1447511597 | NPPES |
| Wisconsin | Other | 65699 | WI STATE LICENSE |
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