Bennett, Andrew Ernest

Bennett, Andrew Ernest is an individual health care provider with primary practice located at 1 General St L & M Radiology, Inc., Lawrence MA 01841-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Andrew Ernest can be contacted via phone (978) 946-8103.

Contact Information

Primary practice address
1 General St L & M Radiology, Inc. Lawrence MA 01841-2961
Phone: (978) 946-8103
Fax: (978) 946-8067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 235534 Massachusetts

Profile Details

NPI number 1104067966
LBN Legal business name Bennett, Andrew Ernest
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2009
Last updated Dec 8th, 2016 - about 8 years ago

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 1104067966 NPPES
Massachusetts Other 11969099 CAQH
Massachusetts MEDICAID 110083413A CAQH

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