Moeller, Benjamin James

Moeller, Benjamin James is an individual health care provider with primary practice located at 1021 Morehead Medical Dr , Charlotte NC 28204-2839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Moeller, Benjamin James can be contacted via phone (704) 355-2272.

Contact Information

Primary practice address
1021 Morehead Medical Dr Charlotte NC 28204-2839
Phone: (704) 355-2272
Fax: (704) 355-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2011-00515 North Carolina
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 33384 South Carolina

Profile Details

NPI number 1518265420
LBN Legal business name Moeller, Benjamin James
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2011
Last updated Dec 19th, 2012 - about 13 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 1518265420 NPPES
South Carolina MEDICAID NC1343
South Carolina MEDICAID 5917263

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