Wallace, Benjamin P
Wallace, Benjamin P is an individual health care provider with primary practice located at 3600 Nw Samaritan Drive Suite 227, Corvallis OR 97330-3737. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Wallace, Benjamin P can be contacted via phone (541) 768-5223.Contact Information
Primary practice address
3600 Nw Samaritan Drive Suite 227
Corvallis OR 97330-3737
Phone: (541) 768-5223
Fax: (541) 768-5014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1992936066 |
|---|---|
| LBN Legal business name | Wallace, Benjamin P |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Aug 6th, 2009 - about 17 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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