Mcauley, Benjamin Timothy

Mcauley, Benjamin Timothy is an individual health care provider with primary practice located at 3450 Cobb Pkwy Nw Suite 140, Acworth GA 30101-8351. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mcauley, Benjamin Timothy can be contacted via phone (770) 974-1978.

Contact Information

Primary practice address
3450 Cobb Pkwy Nw Suite 140 Acworth GA 30101-8351
Phone: (770) 974-1978
Fax: (770) 974-1979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT6719 Georgia

Profile Details

NPI number 1609813021
LBN Legal business name Mcauley, Benjamin Timothy
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Nov 19th, 2010 - about 16 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 1609813021 NPPES
Georgia Other 808095 BCBS GA
Georgia Other P00097956 BCBS GA
Georgia MEDICAID 427259008A BCBS GA

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