Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4093 | NC |
Y | 103T00000X | Psychologist | 4093 | NC |
N | 102L00000X | Psychologist | 867 | SC |
N | 103T00000X | Psychologist | 867 | SC |
N | 103TH0100X | Health Service | 4093 | NC |
NPI | 1598968349 |
---|---|
Provider Name | Dr. Ben T Rigby |
First Address | Wilmington, NC 28403-2564 |
Second Address | Wilmington, NC 28403-2564 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 17/10/2011 |