Individual
MR. BENJMAIN W HURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7899
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13774482
CAQH
AK
01
—
511-73432
BCBS OF AL
AL
01
—
511-73434
BCBS OF AL
AL
01
—
511-73438
BCBS OF AL
AL
01
—
511-73440
BCBS OF AL
AL
Enumeration date
01/05/2016
Last updated
03/15/2016
Update your record
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