Blue, Benjamin Robert

Blue, Benjamin Robert is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Blue, Benjamin Robert can be contacted via phone (937) 641-3000.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Phone: (937) 641-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP.020823 Ohio

Profile Details

NPI number 1588185144
LBN Legal business name Blue, Benjamin Robert
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2017
Last updated Dec 11th, 2024 - about 2 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 1588185144 NPPES
Ohio MEDICAID 0075131

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