Quiambao, Benjamin

Quiambao, Benjamin is an sole proprietor health care provider with primary practice located at 3750 W Main St Ste Aa , Norman OK 73072-4645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Quiambao, Benjamin can be contacted via phone (405) 790-0500.

Contact Information

Primary practice address
3750 W Main St Ste Aa Norman OK 73072-4645
Phone: (405) 790-0500
Fax: (405) 790-0501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C149557 California
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 24708 Oklahoma
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24708 Oklahoma

Profile Details

NPI number 1770796336
LBN Legal business name Quiambao, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Apr 22nd, 2024 - about last year

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 1770796336 NPPES
Oklahoma MEDICAID 200271930A
Oklahoma MEDICAID 200238960A

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