Close, Benjamin B.

Close, Benjamin B. is an sole proprietor health care provider with primary practice located at 201 Pecan Park Ave , Alexandria LA 71303-3361. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Close, Benjamin B. can be contacted via phone (318) 445-6221.

Contact Information

Primary practice address
201 Pecan Park Ave Alexandria LA 71303-3361
Fax: (318) 445-5399
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 019414 Louisiana

Profile Details

NPI number 1730185802
LBN Legal business name Close, Benjamin B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jan 3rd, 2017 - about 8 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 1730185802 NPPES
Louisiana MEDICAID 1951650

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