Wofford, Benny Ross

Wofford, Benny Ross is an individual health care provider with primary practice located at 430 N Monte Vista St , Ada OK 74820-4610. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wofford, Benny Ross can be contacted via phone (580) 421-1127.

Contact Information

Primary practice address
430 N Monte Vista St Ada OK 74820-4610
Phone: (580) 421-1127
Fax: (580) 436-6674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104871995
LBN Legal business name Wofford, Benny Ross
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Nov 18th, 2014 - about 11 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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