Washburn, Benjamin David

Washburn, Benjamin David is an individual health care provider with primary practice located at 1100 Virginia Ave , Columbia MO 65212-0001. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Washburn, Benjamin David can be contacted via phone (573) 882-2663.

Contact Information

Primary practice address
1100 Virginia Ave Columbia MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 884-1284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 2021031129 Missouri
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2021031129 Missouri
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2016018234 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 125075445 Illinois

Profile Details

NPI number 1174979744
LBN Legal business name Washburn, Benjamin David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated Dec 7th, 2021 - about 4 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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