Wall, Benjamin Evans

Wall, Benjamin Evans is an individual health care provider with primary practice located at 2800 Ashton Drive , Wilmington NC 28412-2486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wall, Benjamin Evans can be contacted via phone (910) 794-8892.

Contact Information

Primary practice address
2800 Ashton Drive Wilmington NC 28412-2486
Phone: (910) 794-8892
Fax: (910) 794-8895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 9700796 North Carolina

Profile Details

NPI number 1487677407
LBN Legal business name Wall, Benjamin Evans
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Aug 19th, 2010 - about 15 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 1487677407 NPPES
North Carolina MEDICAID 891073Q

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