Provider Demographics
NPI:1801911326
Name:OSE, BENJAMIN L (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:L
Last Name:OSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 W WILLIAMS ST
Mailing Address - Street 2:SUITE 231A
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-5203
Mailing Address - Country:US
Mailing Address - Phone:919-267-9813
Mailing Address - Fax:919-267-9814
Practice Address - Street 1:800 W WILLIAMS ST
Practice Address - Street 2:SUITE 231A
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5203
Practice Address - Country:US
Practice Address - Phone:919-267-9813
Practice Address - Fax:919-267-9814
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-013962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry