Letran, Benjie Acosta
Letran, Benjie Acosta is an individual health care provider with primary practice located at 803 Se Plaza Ave , Bentonville AR 72712-7772. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Letran, Benjie Acosta can be contacted via phone (479) 636-1270.Contact Information
Primary practice address
803 Se Plaza Ave
Bentonville AR 72712-7772
Phone: (479) 636-1270
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTR1830 | Arkansas |
Profile Details
| NPI number | 1760540140 |
|---|---|
| LBN Legal business name | Letran, Benjie Acosta |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760540140 | NPPES |
| Arkansas | Other | 5Y831 | ABCBS |
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