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NPI Code Detail

MEDICARE: MR. BENJAMEN JONES

MEDICARE: MR. BENJAMEN JONES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZB0600XBiostatiscian

General Provider Information

NPI Number : 1346438322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BENJAMEN JONES
Provider Business Mailing Address
First Line : 615 W MORELAND BLVD
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-2462
Country : US
Telephone Number : 262-896-8487
Fax Number :
Provider Business Practice Location Address
First Line : 615 W MORELAND BLVD
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-2462
Country : US
Telephone Number : 262-896-8487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 10/04/2007

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