Booker, Benjamin Wade
Booker, Benjamin Wade is an individual health care provider with primary practice located at 191 W Union St Ste 127 , Athens OH 45701-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Booker, Benjamin Wade can be contacted via phone (740) 592-7010.Contact Information
Primary practice address
191 W Union St Ste 127
Athens OH 45701-2732
Phone: (740) 592-7010
Fax: (740) 592-7011
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34.015672 | Ohio |
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 34.015672 | Ohio |
Profile Details
NPI number | 1629530084 |
---|---|
LBN Legal business name | Booker, Benjamin Wade |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2019 |
Last updated | Apr 3rd, 2024 - about 5 months 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 | 1629530084 | NPPES |
Ohio | MEDICAID | 0482659 | |
Ohio | MEDICAID | 0481791 |
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