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Contact Information

BENJAMIN EARLE, PA-C
4430 MISSOURI AVE
FORT LEONARD WOOD, MO65473-9098
 Phone: 573-596-0035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for BENJAMIN EARLE · (Male)

NPI # 1669017562
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/14/2019
Last updated 11/24/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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