Tacheron, Ben
Tacheron, Ben is an individual health care provider with primary practice located at 6503 Deer Pointe Dr Ste A , Salisbury MD 21804-1674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Tacheron, Ben can be contacted via phone (855) 527-7246.Contact Information
Primary practice address
6503 Deer Pointe Dr Ste A
Salisbury MD 21804-1674
Phone: (855) 527-7246
Fax: (866) 229-5063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0035409 | Maryland |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 47720 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | D35409 | Maryland |
Profile Details
| NPI number | 1154303493 |
|---|---|
| LBN Legal business name | Tacheron, Ben |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Mar 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154303493 | NPPES |
| Arizona | Other | 47720 | STATE MEDICAL LICENSE |
| Arizona | Other | DR.0050597 | STATE MEDICAL LICENSE |
| Arizona | MEDICAID | 884589 | STATE MEDICAL LICENSE |
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