Booker, Benjamin Wade

Booker, Benjamin Wade is an individual health care provider with primary practice located at 191 W Union St Ste 127 , Athens OH 45701-2732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Booker, Benjamin Wade can be contacted via phone (740) 592-7010.

Contact Information

Primary practice address
191 W Union St Ste 127 Athens OH 45701-2732
Phone: (740) 592-7010
Fax: (740) 592-7011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.015672 Ohio
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 34.015672 Ohio

Profile Details

NPI number 1629530084
LBN Legal business name Booker, Benjamin Wade
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated Apr 3rd, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629530084 NPPES
Ohio MEDICAID 0482659
Ohio MEDICAID 0481791

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