Vazquez, Benjamin G
Vazquez, Benjamin G is an individual health care provider with primary practice located at 4765 Village Plaza Loop Suite 100, Eugene OR 97401. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Vazquez, Benjamin G can be contacted via phone (541) 485-7546.Contact Information
Primary practice address
4765 Village Plaza Loop Suite 100
Eugene OR 97401
Phone: (541) 485-7546
Fax: (541) 345-5254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 103786 | Minnesota |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD60286336 | Washington |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD179361 | Oregon |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 48763 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1093918658 |
|---|---|
| LBN Legal business name | Vazquez, Benjamin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | Jun 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093918658 | NPPES |
| Oregon | MEDICAID | 500715739 | |
| Oregon | MEDICAID | 926718 |
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