Axelrod, Bennett J.
Axelrod, Bennett J. is an individual health care provider with primary practice located at 500 Medical Center Blvd Suite 100, Lawrenceville GA 30045-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Axelrod, Bennett J. can be contacted via phone (770) 682-6000.Contact Information
Primary practice address
500 Medical Center Blvd Suite 100
Lawrenceville GA 30045-8708
Phone: (770) 682-6000
Fax: (770) 513-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 026442 | Georgia |
Profile Details
| NPI number | 1366490757 |
|---|---|
| LBN Legal business name | Axelrod, Bennett J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366490757 | NPPES |
| Georgia | MEDICAID | 00335926B |
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