Benjamin Spores
Benjamin Spores is a Student in an Organized Health Care Education/Training Program in Mankato, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
175 Briargate Rd Apt I28Mankato, MN 56001-5039
Phone: (425) 280-1612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1588437727 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2023 |
| Last updated in NPPES | October 31, 2023 |
| Certification date | October 31, 2023 |
| Mailing address | 175 Briargate Rd Apt I28, Mankato, MN 56001-5039 |
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