Benjamin M Stage in Monroe - General Practice

Benjamin M Stage - NPI 1366512428

Benjamin M Stage is a General Practice in Monroe, Louisiana. Benjamin M Stage practices all healthcare services and medical treatments related to General Practice. The NPI Number for Benjamin M Stage is 1366512428. The last update date is 2015-06-29.

Benjamin M Stage's current location address is 1136 Oliver Rd, Monroe, Louisiana. You can contact this provider via phone number 3183223250 and fax number 3183223260. The mailing address for Benjamin M Stage is 1136 Oliver Rd, Monroe, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin M Stage
Address 1136 Oliver Rd, Monroe, Louisiana
Phone Number 3183223250
Fax Number 3183223260
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1366512428
Provider Enumeration Date 2006-11-08
Last Updated Date 2015-06-29

Provider Mailing Address Detail

Address 1136 Oliver Rd
City Monroe
State Louisiana (LA)
Post Code 712015714
Phone Number 3183223250
Fax Number 3183223260

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 12235
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
72-1396339 LA TAX ID PEGASUS MEDICAL SERVICE
721145487 LA TAX ID NO.
721304084 LA TAX ID BAS

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FAQs about Benjamin M Stage

What is the unique 10-digit identifier code issued to Benjamin M Stage by the Centers for Medicare & Medicaid Services?

The Benjamin M Stage has been assigned the NPI (National Provider Identifier) 1366512428 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Benjamin M Stage is geographically located?

The Benjamin M Stage is physically situated at the following location: 1136 Oliver Rd, Monroe, LA, 712015714.

What is Benjamin M Stage's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Benjamin M Stage's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

When was the Benjamin M Stage's 1366512428 issued?

The Benjamin M Stage's 1366512428 was issued on 2006-11-08.

When was the information regarding Benjamin M Stage, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Benjamin M Stage, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-29.

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