Fore, Bennie Frank

Fore, Bennie Frank is an individual health care provider with primary practice located at 156 Sage Rd , Bastrop TX 78602-5631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Fore, Bennie Frank can be contacted via phone (512) 581-0931.

Contact Information

Primary practice address
156 Sage Rd Bastrop TX 78602-5631
Phone: (512) 581-0931
Fax: (512) 581-0931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G6014 Texas

Profile Details

NPI number 1316995558
LBN Legal business name Fore, Bennie Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Mar 23rd, 2020 - about 6 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 1316995558 NPPES
Texas MEDICAID 137448005

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