Proto, Benjamin R

Proto, Benjamin R is an individual health care provider with primary practice located at 860 Omni Blvd Suite 113, Newport News VA 23606. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Proto, Benjamin R can be contacted via phone (757) 327-0657.

Contact Information

Primary practice address
860 Omni Blvd Suite 113 Newport News VA 23606
Phone: (757) 327-0657
Fax: (757) 327-0658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300835 Virginia
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0103300835 Virginia

Profile Details

NPI number 1073506291
LBN Legal business name Proto, Benjamin R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 14th, 2016 - about 10 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 1073506291 NPPES
Virginia MEDICAID 1073506291
Virginia Other 236542
Virginia MEDICAID 9304797
Virginia Other 58381
Virginia Other 394596

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