Traul, John Benjamin

Traul, John Benjamin is an individual health care provider with primary practice located at 333 N 18Th Ave Ste A , Pocatello ID 83201-3358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Traul, John Benjamin can be contacted via phone (208) 232-7760.

Contact Information

Primary practice address
333 N 18Th Ave Ste A Pocatello ID 83201-3358
Fax: (208) 232-1950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X M-7587 Idaho

Profile Details

NPI number 1790743490
LBN Legal business name Traul, John Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Aug 8th, 2013 - about 13 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 1790743490 NPPES
Idaho MEDICAID 805209000

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