Doctor Name: | DR. BENJAMIN RICHARD LOVERIDGE |
NPI Number: | 1962607226 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 47923 |
Business Practice Address: | 3900 S Memorial Dr Suite A New Castle, IN - 473621307 |
Business Phone Number: | 7653882671 |
Business Fax Number: | |
Mailing Address: | 3900 S Memorial Dr, Suite A NEW CASTLE |
State: | IN |
Postal Code: | 473621307 |
Phone Number: | 7653882671 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 47923 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |