Fiedler, Benjamin Paul

Fiedler, Benjamin Paul is an individual health care provider with primary practice located at 2423 Williams Dr Suite 113, Georgetown TX 78628-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fiedler, Benjamin Paul can be contacted via phone (512) 863-9208.

Contact Information

Primary practice address
2423 Williams Dr Suite 113 Georgetown TX 78628-3200
Fax: (512) 864-7238
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J9498 Texas

Profile Details

NPI number 1811947948
LBN Legal business name Fiedler, Benjamin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 24th, 2021 - about 5 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 1811947948 NPPES
Texas MEDICAID 1024747-03

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