Bennett, Angela M

Bennett, Angela M is an individual health care provider with primary practice located at 5264 Lee Rd , Maple Heights OH 44137-1232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Angela M can be contacted via phone (216) 294-4440.

Contact Information

Primary practice address
5264 Lee Rd Maple Heights OH 44137-1232
Phone: (216) 294-4440
Fax: (216) 249-6032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35-088523 Ohio

Profile Details

NPI number 1861495236
LBN Legal business name Bennett, Angela M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Aug 25th, 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 1861495236 NPPES
Ohio Other 4203042 MEDICARE PTAN
Ohio MEDICAID 2719071 MEDICARE PTAN

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