Individual
BENJAMIN WADE BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
(740) 592-7011
Mailing address
191 W UNION ST STE 127, ATHENS, OH 45701-2732
(740) 592-7010
(740) 592-7011
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34.015672
OH
207Q00000X
Family Medicine Physician
34.015672
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481791
—
NC
05
—
0482659
—
OH
Enumeration date
04/04/2019
Last updated
04/03/2024
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