Tackett, Benjamin

Tackett, Benjamin is an individual health care provider with primary practice located at 140 Stollings Ave Ste 1 , Logan WV 25601-4035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Tackett, Benjamin can be contacted via phone (304) 752-2555.

Contact Information

Primary practice address
140 Stollings Ave Ste 1 Logan WV 25601-4035
Phone: (304) 752-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 66717 West Virginia

Profile Details

NPI number 1265959704
LBN Legal business name Tackett, Benjamin
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2017
Last updated Aug 25th, 2017 - about 9 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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