Bennett, Andrew

Bennett, Andrew is an individual health care provider with primary practice located at 4853 Galaxy Pkwy Suite I, Cleveland OH 44128-5973. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Andrew can be contacted via phone (216) 831-9786.

Contact Information

Primary practice address
4853 Galaxy Pkwy Suite I Cleveland OH 44128-5973
Phone: (216) 831-9786
Fax: (216) 831-2425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99787 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.090051 Ohio

Profile Details

NPI number 1114084878
LBN Legal business name Bennett, Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Oct 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114084878 NPPES
Ohio MEDICAID 2765940

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