Vidalis, Benjamin

Vidalis, Benjamin is an individual health care provider with primary practice located at 465 Saint Michaels Dr Ste 107 , Santa Fe NM 87505-7690. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Vidalis, Benjamin can be contacted via phone (505) 988-3233.

Contact Information

Primary practice address
465 Saint Michaels Dr Ste 107 Santa Fe NM 87505-7690
Phone: (505) 988-3233
Fax: (505) 988-3562
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Mexico
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD2021-0303 New Mexico

Profile Details

NPI number 1104245562
LBN Legal business name Vidalis, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2014
Last updated Sep 21st, 2021 - about 4 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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