Moorehead, Benjamin D

Moorehead, Benjamin D is an individual health care provider with primary practice located at 1 Stadium Drive , Morgantown WV 26506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moorehead, Benjamin D can be contacted via phone (304) 598-4800.

Contact Information

Primary practice address
1 Stadium Drive Morgantown WV 26506
Phone: (304) 598-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 22568 West Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 22568 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22568 West Virginia

Profile Details

NPI number 1437221322
LBN Legal business name Moorehead, Benjamin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Apr 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437221322 NPPES
West Virginia MEDICAID 3810006843
West Virginia Other P00623110
West Virginia Other CA7030

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