Benjamin, Edward Harris
Benjamin, Edward Harris is an sole proprietor health care provider with primary practice located at 115 Elm St Suite 205, Enfield CT 06082-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Benjamin, Edward Harris can be contacted via phone (860) 741-2531.Contact Information
Primary practice address
115 Elm St Suite 205
Enfield CT 06082-3712
Phone: (860) 741-2531
Fax: (860) 745-7587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 021127 | Connecticut |
Profile Details
| NPI number | 1780737262 |
|---|---|
| LBN Legal business name | Benjamin, Edward Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780737262 | NPPES |
| Other | 0044560 | AETNA | |
| Other | 061044668 0001 | AETNA | |
| MEDICAID | 1211275 | AETNA | |
| Other | 052513 | AETNA | |
| Other | P857762 | AETNA | |
| Other | 010021127CT01 | AETNA | |
| Other | 0000P00382 | AETNA |
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