Stasik, Benjamin James

Stasik, Benjamin James is an individual health care provider with primary practice located at 1800 Medical Center Pkwy Ste 200 , Murfreesboro TN 37129-2566. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Stasik, Benjamin James can be contacted via phone (615) 896-6800.

Contact Information

Primary practice address
1800 Medical Center Pkwy Ste 200 Murfreesboro TN 37129-2566
Phone: (615) 896-6800
Fax: (615) 895-8890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11149 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4474 Tennessee

Profile Details

NPI number 1013277052
LBN Legal business name Stasik, Benjamin James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Oct 13th, 2023 - about 3 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 1013277052 NPPES
Tennessee MEDICAID Q064717

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