Benejam, Ralph S

Benejam, Ralph S is an individual health care provider with primary practice located at 3315 N Seminary St , Galesburg IL 61401-1251. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Benejam, Ralph S can be contacted via phone (309) 344-1000.

Contact Information

Primary practice address
3315 N Seminary St Galesburg IL 61401-1251
Phone: (309) 344-1000
Fax: (309) 344-1054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36062477 Illinois

Profile Details

NPI number 1548363765
LBN Legal business name Benejam, Ralph S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1548363765 NPPES
Other 4319365 AETNA
Other 4815127 AETNA
Other 10573902 AETNA
Other 364271985-03 AETNA

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