Provider Demographics
NPI:1427045525
Name:LIU, BEN CHIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BEN
Middle Name:CHIN
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 513
Mailing Address - Street 2:
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093-0513
Mailing Address - Country:US
Mailing Address - Phone:660-429-2228
Mailing Address - Fax:660-429-2992
Practice Address - Street 1:415A BURKARTH RD
Practice Address - Street 2:
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093-3101
Practice Address - Country:US
Practice Address - Phone:660-429-2228
Practice Address - Fax:660-429-2992
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MOR7353207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOK563790Medicare ID - Type Unspecified