Provider Demographics
NPI:1114079027
Name:NAAR, BENJAMIN L (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:L
Last Name:NAAR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7545 W BOYNTON BEACH BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6167
Mailing Address - Country:US
Mailing Address - Phone:561-736-9355
Mailing Address - Fax:561-736-6661
Practice Address - Street 1:7545 W BOYNTON BEACH BLVD STE 102
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6167
Practice Address - Country:US
Practice Address - Phone:561-736-9355
Practice Address - Fax:561-736-6661
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5552111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor