Covington, Benjamin Wilson
Covington, Benjamin Wilson is an individual health care provider with primary practice located at 730 Eureka St , Weatherford TX 76086-6546. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Covington, Benjamin Wilson can be contacted via phone (817) 514-6193.Contact Information
Primary practice address
730 Eureka St
Weatherford TX 76086-6546
Phone: (817) 514-6193
Fax: (817) 514-6947
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L5709 | Texas |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L5709 | Texas |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | L5709 | Texas |
Profile Details
NPI number | 1336140474 |
---|---|
LBN Legal business name | Covington, Benjamin Wilson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Jan 28th, 2013 - about 11 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 | 1336140474 | NPPES |
Texas | MEDICAID | 170802601 | |
Texas | Other | DC3066 | |
Texas | Other | P00997727 | |
Texas | MEDICAID | 169989404 | |
Texas | Other | 8P2300 |
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