Benjamin, Jeff A
Benjamin, Jeff A is an individual health care provider with primary practice located at 8170 Rourk St , Myrtle Beach SC 29572-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Benjamin, Jeff A can be contacted via phone (843) 449-2336.Contact Information
Primary practice address
8170 Rourk St
Myrtle Beach SC 29572-4127
Phone: (843) 449-2336
Fax: (843) 497-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0501 | South Carolina |
Profile Details
| NPI number | 1821057779 |
|---|---|
| LBN Legal business name | Benjamin, Jeff A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Oct 14th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821057779 | NPPES |
| South Carolina | Other | 2023740 | EVOLUTIONS |
| South Carolina | MEDICAID | 01838875 | EVOLUTIONS |
| South Carolina | Other | 1061000 | EVOLUTIONS |
| South Carolina | Other | 3099820 | EVOLUTIONS |
| South Carolina | Other | 434035 | EVOLUTIONS |
| South Carolina | MEDICAID | 6906038 | EVOLUTIONS |
| South Carolina | Other | A156 | EVOLUTIONS |
| South Carolina | Other | 1189849 | EVOLUTIONS |
| South Carolina | Other | 7251177 | EVOLUTIONS |
| South Carolina | Other | 82645 | EVOLUTIONS |
| South Carolina | MEDICAID | 005014 | EVOLUTIONS |
| South Carolina | Other | 0504464 | EVOLUTIONS |
| South Carolina | Other | 521523 | EVOLUTIONS |
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