Benjamin, Eric

Benjamin, Eric is an individual health care provider with primary practice located at 3807 N 7Th St , Phoenix AZ 85014-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Benjamin, Eric can be contacted via phone (602) 258-6797.

Contact Information

Primary practice address
3807 N 7Th St Phoenix AZ 85014-5005
Phone: (602) 258-6797
Fax: (602) 258-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2483 Arizona

Profile Details

NPI number 1639148950
LBN Legal business name Benjamin, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 21st, 2011 - about 15 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 1639148950 NPPES
Arizona MEDICAID 276114

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