Soule, Benjamin Petersen

Soule, Benjamin Petersen is an sole proprietor health care provider with primary practice located at 51 N 39Th St Mutch Bldg. 5Th Floor, Philadelphia PA 19104-2640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Soule, Benjamin Petersen can be contacted via phone (215) 662-2775.

Contact Information

Primary practice address
51 N 39Th St Mutch Bldg. 5Th Floor Philadelphia PA 19104-2640
Fax: (215) 662-3440
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD440070 Pennsylvania
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD440070 Pennsylvania

Profile Details

NPI number 1619968591
LBN Legal business name Soule, Benjamin Petersen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Feb 15th, 2022 - about 4 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 1619968591 NPPES
Maryland MEDICAID 415096100
Maryland Other MD440070

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