Vanraalte, Benjamin
Vanraalte, Benjamin is an sole proprietor health care provider with primary practice located at 4334 E 53Rd St , Davenport IA 52807-3039. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vanraalte, Benjamin can be contacted via phone (563) 322-8877.Contact Information
Primary practice address
4334 E 53Rd St
Davenport IA 52807-3039
Phone: (563) 322-8877
Fax: (563) 322-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 29526 | Iowa |
Profile Details
| NPI number | 1528048451 |
|---|---|
| LBN Legal business name | Vanraalte, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 29th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528048451 | NPPES |
| Iowa | MEDICAID | IA0113241 |
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