Jeter, Benjamin Alan

Jeter, Benjamin Alan is an individual health care provider with primary practice located at 1801 Gadsden Hwy , Birmingham AL 35235-3134. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jeter, Benjamin Alan can be contacted via phone (205) 838-3900.

Contact Information

Primary practice address
1801 Gadsden Hwy Birmingham AL 35235-3134
Phone: (205) 838-3900
Fax: (205) 838-3906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-160 Alabama

Profile Details

NPI number 1255304473
LBN Legal business name Jeter, Benjamin Alan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 13th, 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 1255304473 NPPES
Alabama Other 51520839 BLUE CROSS BLUE SHIELD

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