John, Benjamin

John, Benjamin is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. John, Benjamin can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00046181 Washington
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD00046181 Washington

Profile Details

NPI number 1437191533
LBN Legal business name John, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 2nd, 2015 - about 11 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 1437191533 NPPES
Washington MEDICAID 8452260

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