Weber, Benjamin Michael

Weber, Benjamin Michael is an individual health care provider with primary practice located at 1203 Avenue B Ste 300, Ellisville MS 39437-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Weber, Benjamin Michael can be contacted via phone (601) 477-2226.

Contact Information

Primary practice address
1203 Avenue B Ste 300 Ellisville MS 39437-2080
Fax: (601) 477-2236
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 12552 Mississippi

Profile Details

NPI number 1669446001
LBN Legal business name Weber, Benjamin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Feb 11th, 2014 - about 10 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 1669446001 NPPES
Mississippi MEDICAID 0110736

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