Douglas, Benjamin

Douglas, Benjamin is an individual health care provider with primary practice located at 38 The Village Overlook , Sylva NC 28779-2616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Douglas, Benjamin can be contacted via phone (828) 586-7474.

Contact Information

Primary practice address
38 The Village Overlook Sylva NC 28779-2616
Phone: (828) 586-7474
Fax: (828) 586-7473
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26813 North Carolina

Profile Details

NPI number 1780621540
LBN Legal business name Douglas, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 5th, 2019 - about 7 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 1780621540 NPPES
Georgia MEDICAID 000391421A
Georgia Other 29104
Georgia MEDICAID 000391421B
Georgia MEDICAID 8929104
Georgia Other 040009857

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