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Contact Information

BENJAMIN D MALCOLM, FNP
1095 S MAIN ST
CENTERVILLE, OH45458-3840
 Phone: 937-439-8622
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BENJAMIN D MALCOLM · (Male)

NPI Number 1013083229
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 11/28/2006
Last updated 11/11/2016 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OH License # COA.15883-NP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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