Whitehead, Benjamin
Whitehead, Benjamin is an sole proprietor health care provider with primary practice located at 1015 Nw 56Th Ter , Gainesville FL 32605-4481. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Whitehead, Benjamin can be contacted via phone (352) 835-5520.Contact Information
Primary practice address
1015 Nw 56Th Ter
Gainesville FL 32605-4481
Phone: (352) 835-5520
Fax: (866) 610-0580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | Florida |
Profile Details
| NPI number | 1447796388 |
|---|---|
| LBN Legal business name | Whitehead, Benjamin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2017 |
| Last updated | Jan 17th, 2017 - about 9 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 | 1447796388 | NPPES |
| Florida | MEDICAID | 009093700 |
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