Beben, Leslie Andrew

Beben, Leslie Andrew is an individual health care provider with primary practice located at 625 W Wesmark Blvd , Sumter SC 29150-1900. 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. Beben, Leslie Andrew can be contacted via phone (803) 469-7950.

Contact Information

Primary practice address
625 W Wesmark Blvd Sumter SC 29150-1900
Phone: (803) 469-7950
Fax: (803) 869-4021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 415 South Carolina

Profile Details

NPI number 1417941501
LBN Legal business name Beben, Leslie Andrew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Apr 24th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417941501 NPPES
South Carolina MEDICAID MPA974

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