Wiseman, Benjamin Ernest
Wiseman, Benjamin Ernest is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wiseman, Benjamin Ernest can be contacted via phone (662) 377-4394.Contact Information
Primary practice address
830 S Gloster St
Tupelo MS 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 18380 | Mississippi |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 18380 | Mississippi |
Profile Details
| NPI number | 1649289794 |
|---|---|
| LBN Legal business name | Wiseman, Benjamin Ernest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1649289794 | NPPES |
| Mississippi | MEDICAID | 00681735 |
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