Dr. Benjamin John Fravel
Endodontist
1200 Crestview Dr Suite 3
Hudson
, Wisconsin 54016-9366
Dr. Benjamin John Fravel
Endodontist
1200 Crestview Dr Suite 3
Hudson
, Wisconsin 54016-9366
(715) 386-8958
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Benjamin John Fravel
- 1200 Crestview Dr Suite 3
- Hudson, WI
- Zip : 54016-9366
- Fax : (715) 386-8958
- Phone : (715) 386-8070
Second Address
- Dr. Benjamin John Fravel
- 1200 Crestview Dr Suite 3
- Hudson, WI
- Zip : 54016-9366
- Fax : (715) 386-8958
- Phone : (715) 386-8070
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Is Dr. Benjamin John Fravel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 6081-015 | WI |
| N | 1223E0200X | Endodontist | D11471 | MN |
National Provider Identifier
| NPI | 1144292830 |
|---|---|
| Provider Name | Dr. Benjamin John Fravel |
| First Address | Hudson, WI 54016-9366 |
| Second Address | Hudson, WI 54016-9366 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 24/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.