Provider Demographics
NPI:1790016822
Name:MORGAN, BENJAMIN FRANKLIN IV (INDEPENDENT DUTY HM)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:FRANKLIN
Last Name:MORGAN
Suffix:IV
Gender:M
Credentials:INDEPENDENT DUTY HM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HOSPITAL OAK HBR
Mailing Address - Street 2:3475 N SARATOGA
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98278-8800
Mailing Address - Country:US
Mailing Address - Phone:360-257-9400
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HOSPITAL OAK HBR
Practice Address - Street 2:3475 N SARATOGA
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98278-8800
Practice Address - Country:US
Practice Address - Phone:360-257-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman