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Contact Information

BENJAMIN R PROTO, DPM
860 OMNI BLVD
SUITE 113
NEWPORT NEWS, VA23606
 Phone: 757-327-0657
 Fax: 757-327-0658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BENJAMIN R PROTO · (Male)

NPI # 1073506291
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/23/2005
Last updated 12/14/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0103300835
  • VA Medicaid 1073506291
  • VA Medicaid 9304797
  • VA Other 236542 ANTHEM PROVIDER NUMBER
  • VA Other 394596 MDIPA/MAMSI PROVIDER NUM
  • VA Other 58381 OPTIMA PROVIDER NUMBER
Hospital affiliation(s)
  • SENTARA CAREPLEX HOSPITAL - (Acute Care)
    3000 COLISEUM DRIVE
    HAMPTON, VA 23666
  • SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER - (Acute Care)
    100 SENTARA CIRCLE
    WILLIAMSBURG, VA 23188
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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