Individual
BENJAMIN L. SHIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
737 GREENVILLE RD, MERCER, PA 16137-5023
(724) 662-2650
(724) 662-1338
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 662-2650
(724) 662-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009964L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018011130002
—
PA
Enumeration date
11/25/2005
Last updated
12/11/2013
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