| Benjamin Medical Pllc | |
|
1340 Allegheny Ct Se Olympia WA 98503-1905 | |
| (360) 742-4617 | |
| Not Available |
| Full Name | Benjamin Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1340 Allegheny Ct Se, Olympia, Washington |
| Authorized Official Name and Position | Sabrina Ann Benjamin (OWNER) |
| Authorized Official Contact | 3607424617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Medical Pllc 1340 Allegheny Ct Se Olympia WA 98503-1905 Ph: (360) 742-4617 | Benjamin Medical Pllc 1340 Allegheny Ct Se Olympia WA 98503-1905 Ph: (360) 742-4617 |
| NPI Number | 1124357652 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/11/2009 |
| Medicare PECOS PAC ID | 0941343131 |
|---|---|
| Medicare Enrollment ID | O20100210000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124357652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sabrina A Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447280334 PECOS PAC ID: 5496898686 Enrollment ID: I20100210000633 |
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