Blackmon, Benjamin B

Blackmon, Benjamin B is an individual health care provider with primary practice located at Taylor At Mation St , Columbia SC 29220-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Blackmon, Benjamin B can be contacted via phone (803) 254-2394.

Contact Information

Primary practice address
Taylor At Mation St Columbia SC 29220-0001
Fax: (203) 254-7125
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 10460 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 10460 South Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10460 South Carolina

Profile Details

NPI number 1851480396
LBN Legal business name Blackmon, Benjamin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851480396 NPPES
South Carolina MEDICAID 104602
South Carolina Other 77778
South Carolina Other 4129447
South Carolina Other 104602
South Carolina Other 2000024

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