Fritz, Benjamin

Fritz, Benjamin is an individual health care provider with primary practice located at 2301 Circadian Way Suite A, Santa Rosa CA 95407-5416. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Fritz, Benjamin can be contacted via phone (707) 526-2027.

Contact Information

Primary practice address
2301 Circadian Way Suite A Santa Rosa CA 95407-5416
Phone: (707) 526-2027
Fax: (707) 526-2096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A66856 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MED-PHYS-LIC-88487 Montana

Profile Details

NPI number 1265482772
LBN Legal business name Fritz, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated May 18th, 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 1265482772 NPPES
California MEDICAID 00A66856

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