Odom, Benjamin Scott

Odom, Benjamin Scott is an sole proprietor health care provider with primary practice located at 538 Broadway , Winnie TX 77665-7600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Odom, Benjamin Scott can be contacted via phone (409) 296-6000.

Contact Information

Primary practice address
538 Broadway Winnie TX 77665-7600
Phone: (409) 296-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 63792 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1098056 Texas

Profile Details

NPI number 1831320456
LBN Legal business name Odom, Benjamin Scott
Credentials LPC/APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2009
Last updated Jan 19th, 2023 - about 2 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 1831320456 NPPES
Texas Other 1098056 TEXAS LICENSE APRN

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