Benjamin Bower

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Plymouth, IN

NPI 1245047109 · NPPES record last updated Dec 14, 2024

Key facts

NPI
1245047109
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
13541 3Rd Rd
Plymouth, IN 46563-9760
Phone
(574) 299-3993
NPI assigned
Dec 14, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

13541 3Rd Rd
Plymouth, IN 46563-9760

Mailing address

13541 3Rd Rd
Plymouth, IN 46563-9760

Other providers in Plymouth, IN

All providers in Plymouth, IN · Student in an Organized Health Care Education/Training Program in Indiana

Sources for this page

Verify at the official NPI Registry.