Stiles, Benjamin Otto

Stiles, Benjamin Otto is an individual health care provider with primary practice located at 19101 E Valley View Pkwy Suite J., Independence MO 64055-6904. He recently has only one registered license in Chiropractic Providers / Radiology, which is considered as his primary health care specialty. Stiles, Benjamin Otto can be contacted via phone (816) 795-0300.

Contact Information

Primary practice address
19101 E Valley View Pkwy Suite J. Independence MO 64055-6904
Phone: (816) 795-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 006698 Missouri

Profile Details

NPI number 1922069830
LBN Legal business name Stiles, Benjamin Otto
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Feb 17th, 2009 - about 16 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 1922069830 NPPES
Missouri Other 7230398 AETNA
Missouri Other 641510 AETNA
Missouri Other 30149013 AETNA

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