Madsen, Benjamin John
Madsen, Benjamin John is an individual health care provider with primary practice located at 925 Highland Blvd Ste 1100 , Bozeman MT 59715-6900. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Madsen, Benjamin John can be contacted via phone (406) 414-4550.Contact Information
Primary practice address
925 Highland Blvd Ste 1100
Bozeman MT 59715-6900
Phone: (406) 414-4550
Fax: (406) 414-4599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 81116 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 81116 | Montana |
Profile Details
| NPI number | 1841440765 |
|---|---|
| LBN Legal business name | Madsen, Benjamin John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2008 |
| Last updated | Jul 22nd, 2021 - about 5 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 | 1841440765 | NPPES |
| Montana | MEDICAID | 1841440765 |
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