Wass, Benjamin J

Wass, Benjamin J is an individual health care provider with primary practice located at 3509 Dewey St , Manitowoc WI 54220-5813. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wass, Benjamin J can be contacted via phone (920) 686-5731.

Contact Information

Primary practice address
3509 Dewey St Manitowoc WI 54220-5813
Phone: (920) 686-5731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2657-23 Wisconsin

Profile Details

NPI number 1912214933
LBN Legal business name Wass, Benjamin J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2010
Last updated Dec 8th, 2023 - about 2 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 1912214933 NPPES
Wisconsin MEDICAID 100012094

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