Benjamin David Washburn
Physical Medicine & Rehabilitation Doctor Sports Medicine
1100 Virginia Ave
Columbia
, Missouri 65212-0001
Benjamin David Washburn
Physical Medicine & Rehabilitation Doctor Sports Medicine
1100 Virginia Ave
Columbia
, Missouri 65212-0001
(573) 884-0943
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
First Address
- Benjamin David Washburn
- Po Box 843966
- Kansas City, MO
- Zip : 64184-3966
- Fax : (573) 884-0943
- Phone : (573) 884-3300
Second Address
- Benjamin David Washburn
- 1100 Virginia Ave
- Columbia, MO
- Zip : 65212-0001
- Fax : (573) 884-1284
- Phone : (573) 882-2663
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FAQs
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Is Benjamin David Washburn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2016018234 | MO |
| N | 208100000X | Physical Medicine & Rehabilitation Doctor | 2021031129 | MO |
| N | 2081S0010X | Sports Medicine | 125075445 | IL |
| N | 213ES0000X | Sports Medicine | 125075445 | IL |
| Y | 2081S0010X | Sports Medicine | 2021031129 | MO |
| Y | 213ES0000X | Sports Medicine | 2021031129 | MO |
National Provider Identifier
| NPI | 1174979744 |
|---|---|
| Provider Name | Benjamin David Washburn |
| First Address | Kansas City, MO 64184-3966 |
| Second Address | Columbia, MO 65212-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/05/2016 |
| Last Update Date | 07/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.