Konstandt, David Benjamin
Konstandt, David Benjamin is an individual health care provider with primary practice located at 128 Medical Park Rd Suite 301, Mooresville NC 28117-8578. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Konstandt, David Benjamin can be contacted via phone (704) 660-3322.Contact Information
Primary practice address
128 Medical Park Rd Suite 301
Mooresville NC 28117-8578
Phone: (704) 660-3322
Fax: (704) 660-3330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 200500344 | North Carolina |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2005-00344 | North Carolina |
Profile Details
| NPI number | 1881670164 |
|---|---|
| LBN Legal business name | Konstandt, David Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | May 27th, 2021 - about 3 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 | 1881670164 | NPPES |
| North Carolina | MEDICAID | 5902364 |
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