Shores, Benjamin Dylan

Shores, Benjamin Dylan is an individual health care provider with primary practice located at 404 S White St , Athens TN 37303-4732. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Shores, Benjamin Dylan can be contacted via phone (865) 525-0391.

Contact Information

Primary practice address
404 S White St Athens TN 37303-4732
Fax: (865) 525-0393
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275024010
LBN Legal business name Shores, Benjamin Dylan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2018
Last updated May 29th, 2018 - about 7 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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