Weathersby, Benjamin Blake
Weathersby, Benjamin Blake is an individual health care provider with primary practice located at 3815 Faber Place Dr , North Charleston SC 29405-8533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Weathersby, Benjamin Blake can be contacted via phone (843) 767-9312.Contact Information
Primary practice address
3815 Faber Place Dr
North Charleston SC 29405-8533
Phone: (843) 767-9312
Fax: (843) 767-9313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 23772 | South Carolina |
Profile Details
| NPI number | 1730182932 |
|---|---|
| LBN Legal business name | Weathersby, Benjamin Blake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730182932 | NPPES |
| South Carolina | MEDICAID | T79714 |
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