Duke, Benjamin Thomas
Duke, Benjamin Thomas is an sole proprietor health care provider with primary practice located at 1515 Sheridan Rd Arcade Unit 20-21, Wilmette IL 60091-1822. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Duke, Benjamin Thomas can be contacted via phone (847) 920-4544.Contact Information
Primary practice address
1515 Sheridan Rd Arcade Unit 20-21
Wilmette IL 60091-1822
Phone: (847) 920-4544
Fax: (847) 920-5754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038010964 | Illinois |
Profile Details
| NPI number | 1043403793 |
|---|---|
| LBN Legal business name | Duke, Benjamin Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Oct 16th, 2013 - about 12 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 | 1043403793 | NPPES |
| Illinois | Other | F400094300 | MEDICARE GROUP MEMBER PTAN |
| Illinois | Other | F100094293 | MEDICARE GROUP MEMBER PTAN |
| Illinois | Other | 9932411 | MEDICARE GROUP MEMBER PTAN |
| Illinois | Other | 1605587 | MEDICARE GROUP MEMBER PTAN |
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