Konstandt, David Benjamin

Konstandt, David Benjamin is an individual health care provider with primary practice located at 128 Medical Park Rd Suite 301, Mooresville NC 28117-8578. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Konstandt, David Benjamin can be contacted via phone (704) 660-3322.

Contact Information

Primary practice address
128 Medical Park Rd Suite 301 Mooresville NC 28117-8578
Phone: (704) 660-3322
Fax: (704) 660-3330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 200500344 North Carolina
Allopathic & Osteopathic Physicians / Urology 208800000X 2005-00344 North Carolina

Profile Details

NPI number 1881670164
LBN Legal business name Konstandt, David Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 27th, 2021 - about 5 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 1881670164 NPPES
North Carolina MEDICAID 5902364

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