Barraclough, Benjamin
Barraclough, Benjamin is an individual health care provider with primary practice located at 2400 N Washington Blvd , North Ogden UT 84414-7233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Barraclough, Benjamin can be contacted via phone (801) 786-7500.Contact Information
Primary practice address
2400 N Washington Blvd
North Ogden UT 84414-7233
Phone: (801) 786-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TEP5671 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8466A | Wyoming |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 378611-1204 | Utah |
Profile Details
| NPI number | 1619175189 |
|---|---|
| LBN Legal business name | Barraclough, Benjamin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Sep 23rd, 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 | 1619175189 | NPPES |
| Nebraska | MEDICAID | 47055301100 |
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