Wirt, Benjamin Lafayette

Wirt, Benjamin Lafayette is an individual health care provider with primary practice located at 2871 Acton Rd Ste 100 , Vestavia AL 35243. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wirt, Benjamin Lafayette can be contacted via phone (205) 716-6900.

Contact Information

Primary practice address
2871 Acton Rd Ste 100 Vestavia AL 35243
Phone: (205) 716-6900
Fax: (205) 939-0293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-90 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-90 Alabama

Profile Details

NPI number 1265488209
LBN Legal business name Wirt, Benjamin Lafayette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jul 10th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265488209 NPPES
Alabama MEDICAID 000042296

Popular Providers