Stockton, Benjamin R

Stockton, Benjamin R is an individual health care provider with primary practice located at 2530 E Southern Ave , Mesa AZ 85204-5411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stockton, Benjamin R can be contacted via phone (480) 834-4188.

Contact Information

Primary practice address
2530 E Southern Ave Mesa AZ 85204-5411
Phone: (480) 834-4188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD427930 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 4301089581 Michigan

Profile Details

NPI number 1770515959
LBN Legal business name Stockton, Benjamin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 19th, 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 1770515959 NPPES
Other P00888237 RR MEDICARE#
MEDICAID 105185131 RR MEDICARE#
MEDICAID 1693157308 RR MEDICARE#

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