Provider Demographics
NPI:1639590219
Name:ABBEY, BENJAMIN CURTISS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:CURTISS
Last Name:ABBEY
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:625 NORTH FOSTER STREET
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-2971
Mailing Address - Country:US
Mailing Address - Phone:605-996-3963
Mailing Address - Fax:605-996-0718
Practice Address - Street 1:625 NORTH FOSTER STREET
Practice Address - Street 2:SUITE # 200
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-2971
Practice Address - Country:US
Practice Address - Phone:605-996-3963
Practice Address - Fax:605-996-0718
Is Sole Proprietor?:No
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD0897363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant