Benjamin, Scott Evan

Benjamin, Scott Evan is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as his primary health care specialty. Benjamin, Scott Evan can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 42-0010625 Vermont
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 84390 South Carolina

Profile Details

NPI number 1174614390
LBN Legal business name Benjamin, Scott Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Oct 23rd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174614390 NPPES
Vermont MEDICAID 1009844
Vermont MEDICAID 02502692

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