Dodson, Benjamin
Dodson, Benjamin is an individual health care provider with primary practice located at 32300 S 625 Rd , Grove OK 74344-6285. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dodson, Benjamin can be contacted via phone (918) 786-2930.Contact Information
Primary practice address
32300 S 625 Rd
Grove OK 74344-6285
Phone: (918) 786-2930
Fax: (918) 786-5985
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1780063388 |
|---|---|
| LBN Legal business name | Dodson, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2015 |
| Last updated | Jun 15th, 2015 - about 11 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 | 1780063388 | NPPES |
| Oklahoma | MEDICAID | 2001129910 |
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