Anderson, Benjamin Thomas

Anderson, Benjamin Thomas is an individual health care provider with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anderson, Benjamin Thomas can be contacted via phone (574) 753-7541.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 753-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 02004299A Indiana

Profile Details

NPI number 1851690275
LBN Legal business name Anderson, Benjamin Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2011
Last updated Jun 29th, 2015 - about 11 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 1851690275 NPPES
Indiana Other P01342297 MCR RAILROAD
Indiana Other 000000881873 MCR RAILROAD
Indiana MEDICAID 201094390 MCR RAILROAD

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