Marine, Benjamin M

Marine, Benjamin M is an individual health care provider with primary practice located at 7017 John Deere Pkwy Ste 2B , Moline IL 61265. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Marine, Benjamin M can be contacted via phone (309) 792-0513.

Contact Information

Primary practice address
7017 John Deere Pkwy Ste 2B Moline IL 61265
Phone: (309) 792-0513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.29844 Illinois

Profile Details

NPI number 1336553031
LBN Legal business name Marine, Benjamin M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2014
Last updated Jun 18th, 2018 - about 8 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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