Landgraf, Benjamin

Landgraf, Benjamin is an individual health care provider with primary practice located at 4855 S Moorland Rd Ste 250 , New Berlin WI 53151-7494. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Landgraf, Benjamin can be contacted via phone (262) 789-6020.

Contact Information

Primary practice address
4855 S Moorland Rd Ste 250 New Berlin WI 53151-7494
Fax: (262) 789-6025
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 66515-20 Wisconsin

Profile Details

NPI number 1053723130
LBN Legal business name Landgraf, Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2014
Last updated Jul 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053723130 NPPES
Wisconsin MEDICAID 1053723130

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