Waller, Benjamin Lane

Waller, Benjamin Lane is an individual health care provider with primary practice located at 2560 King Arthur Blvd Ste 120 , Lewisville TX 75056-5818. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Waller, Benjamin Lane can be contacted via phone (972) 899-9737.

Contact Information

Primary practice address
2560 King Arthur Blvd Ste 120 Lewisville TX 75056-5818
Phone: (972) 899-9737
Fax: (972) 899-9738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 15693 Texas

Profile Details

NPI number 1285315184
LBN Legal business name Waller, Benjamin Lane
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2023
Last updated Jul 25th, 2023 - about 3 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 1285315184 NPPES
Texas Other 15693 STATE LICENSE

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