Kavoussi, Ben

Kavoussi, Ben is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Acupuncturist. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kavoussi, Ben can be contacted via phone (707) 423-5252.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA003526 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52383 California
Other Service Providers / Acupuncturist 171100000X KO000629 Pennsylvania

Profile Details

NPI number 1932594140
LBN Legal business name Kavoussi, Ben
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2015
Last updated Nov 1st, 2017 - about 9 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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