Hafkenschiel, Benjamin Thomas

Hafkenschiel, Benjamin Thomas is an individual health care provider with primary practice located at 751 S Bascom Ave Emergency Department, San Jose CA 95128-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hafkenschiel, Benjamin Thomas can be contacted via phone (408) 885-6900.

Contact Information

Primary practice address
751 S Bascom Ave Emergency Department San Jose CA 95128-2604
Phone: (408) 885-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G27641 California

Profile Details

NPI number 1710940457
LBN Legal business name Hafkenschiel, Benjamin Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Sep 12th, 2007 - about 19 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 1710940457 NPPES
California MEDICAID 00G276410

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