Wyllie, Benjamin Edward

Wyllie, Benjamin Edward is an sole proprietor health care provider with primary practice located at 8090 Winding Way Ct , Springfield VA 22153-2433. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Wyllie, Benjamin Edward can be contacted via phone (703) 845-1500.

Contact Information

Primary practice address
8090 Winding Way Ct Springfield VA 22153-2433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165373 Virginia

Profile Details

NPI number 1477846855
LBN Legal business name Wyllie, Benjamin Edward
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2011
Last updated Nov 27th, 2023 - about last year

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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