Smith, Benjamin
Smith, Benjamin is an individual health care provider with primary practice located at 2280 Marcola Rd , Springfield OR 97477-2594. 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 / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Smith, Benjamin can be contacted via phone (541) 747-4300.Contact Information
Primary practice address
2280 Marcola Rd
Springfield OR 97477-2594
Phone: (541) 747-4300
Fax: (541) 747-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | AMD-797 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 105989 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 188520 | Oregon |
Profile Details
| NPI number | 1871954750 |
|---|---|
| LBN Legal business name | Smith, Benjamin |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2016 |
| Last updated | Jun 9th, 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 | 1871954750 | NPPES |
| Oregon | MEDICAID | 500748366 |
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