Morrissey, Benjamin Joseph

Morrissey, Benjamin Joseph is an sole proprietor health care provider with primary practice located at 190 E Bannock St , Boise ID 83712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Morrissey, Benjamin Joseph can be contacted via phone (208) 706-5850.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X M14183 Idaho

Profile Details

NPI number 1730441536
LBN Legal business name Morrissey, Benjamin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2012
Last updated Jun 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730441536 NPPES
Idaho MEDICAID 1730441536

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