Blackmon, Benjamin B
Blackmon, Benjamin B is an individual health care provider with primary practice located at Taylor At Mation St , Columbia SC 29220-0001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Blackmon, Benjamin B can be contacted via phone (803) 254-2394.Contact Information
Primary practice address
Taylor At Mation St
Columbia SC 29220-0001
Phone: (803) 254-2394
Fax: (203) 254-7125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 10460 | South Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 10460 | South Carolina |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10460 | South Carolina |
Profile Details
| NPI number | 1851480396 |
|---|---|
| LBN Legal business name | Blackmon, Benjamin B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1851480396 | NPPES |
| South Carolina | MEDICAID | 104602 | |
| South Carolina | Other | 77778 | |
| South Carolina | Other | 4129447 | |
| South Carolina | Other | 104602 | |
| South Carolina | Other | 2000024 |
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