Mahan, Ben B

Mahan, Ben B is an individual health care provider with primary practice located at 926 N Jackson St , Tullahoma TN 37388-2300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mahan, Ben B can be contacted via phone (931) 393-6004.

Contact Information

Primary practice address
926 N Jackson St Tullahoma TN 37388-2300
Phone: (931) 393-6004
Fax: (931) 393-4795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X TN18870 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X TN18870 Tennessee

Profile Details

NPI number 1881690311
LBN Legal business name Mahan, Ben B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 10th, 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 1881690311 NPPES
Tennessee Other 3074482 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3039979 BLUE CROSS BLUE SHIELD

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