Individual
BENJAMIN JOSEPH VULHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 870-7000
Mailing address
4630 BOOMER RD, CINCINNATI, OH 45247-7941
(513) 332-4244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004234
OH
363AM0700X
Medical Physician Assistant
50.004234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.004234
OHIO STATE MEDICAL BOARD
OH
Enumeration date
04/08/2015
Last updated
04/08/2015
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