Fore, Benjamin Baker

Fore, Benjamin Baker is an sole proprietor health care provider with primary practice located at 1005 15Th Ave Nw , Ardmore OK 73401-1810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Fore, Benjamin Baker can be contacted via phone (580) 223-4800.

Contact Information

Primary practice address
1005 15Th Ave Nw Ardmore OK 73401-1810
Phone: (580) 223-4800
Fax: (580) 223-4801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 2273 Oklahoma

Profile Details

NPI number 1922063510
LBN Legal business name Fore, Benjamin Baker
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Apr 15th, 2016 - about 10 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 1922063510 NPPES
Oklahoma Other 2273 OKLAHOMA LICENSE

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