Healthcare Provider Details

I. General information

NPI: 1295651701
Provider Name (Legal Business Name): MR. BEN C SHEMBARGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8416 KING ARTHURS CT
KINGSLEY MI
49649-8614
US

IV. Provider business mailing address

8416 KING ARTHURS CT
KINGSLEY MI
49649-8614
US

V. Phone/Fax

Practice location:
  • Phone: 231-649-5696
  • Fax:
Mailing address:
  • Phone: 231-649-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: