Studdard, Benjamin

Studdard, Benjamin is an sole proprietor health care provider with primary practice located at 1617 Williams Dr Ste 200 , Murfreesboro TN 37129-3287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Studdard, Benjamin can be contacted via phone (615) 890-5484.

Contact Information

Primary practice address
1617 Williams Dr Ste 200 Murfreesboro TN 37129-3287
Fax: (615) 890-7924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 55792 Tennessee

Profile Details

NPI number 1588928980
LBN Legal business name Studdard, Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2012
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588928980 NPPES
Tennessee MEDICAID Q029697

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