Mullenbach, Benjamin
Mullenbach, Benjamin is an sole proprietor health care provider with primary practice located at 1241 Woodland Ave , Mt Pleasant SC 29464-3288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mullenbach, Benjamin can be contacted via phone (843) 824-0606.Contact Information
Primary practice address
1241 Woodland Ave
Mt Pleasant SC 29464-3288
Phone: (843) 824-0606
Fax: (843) 824-0909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 201220 | North Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD83497 | South Carolina |
Profile Details
| NPI number | 1194135442 |
|---|---|
| LBN Legal business name | Mullenbach, Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2014 |
| Last updated | Mar 4th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194135442 | NPPES |
| South Carolina | MEDICAID | 12501Q |
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