Thompson, Benjamin Wolf

Thompson, Benjamin Wolf is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 510 , Columbia SC 29203-6854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Thompson, Benjamin Wolf can be contacted via phone (803) 296-2726.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 510 Columbia SC 29203-6854
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LL39435 South Carolina
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 39435 South Carolina

Profile Details

NPI number 1558710764
LBN Legal business name Thompson, Benjamin Wolf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2016
Last updated May 9th, 2022 - 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 1558710764 NPPES
South Carolina MEDICAID 394353

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