Benjamin Huyck
Individual provider Active NPI Independent Duty Medical Technicians · Andersen Afb, GU
NPI 1285288134 · NPPES record last updated Jul 30, 2019
Key facts
- NPI
- 1285288134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 22061 Carolines Ave
Andersen Afb, GU 96929 - Phone
- (510) 366-2772
- NPI assigned
- Jul 30, 2019
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
22061 Carolines Ave
Andersen Afb, GU 96929
Mailing address
152 Chalan Prensepat
Dededo, GU 96929-5738
Other providers in Andersen Afb, GU
- Andersen Phcy
- Derrick Bailey
- John Garcia
- Imee Sarmiento Kiser
- Scott Christopher Martin
- Thaddeus Dwayne Mitcham
- Amanda Jo Solven
- Derrick D'Artagnon Stahl
All providers in Andersen Afb, GU · Independent Duty Medical Technicians in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.