Bennett, Anthony Arlo

Bennett, Anthony Arlo is an individual health care provider with primary practice located at 1899 Orchard Lake Rd Suite 104, Sylvan Lake MI 48320-1774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Anthony Arlo can be contacted via phone (248) 894-8019.

Contact Information

Primary practice address
1899 Orchard Lake Rd Suite 104 Sylvan Lake MI 48320-1774
Phone: (248) 894-8019
Fax: (248) 693-4632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X AB063302 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036112710 Illinois

Profile Details

NPI number 1801866397
LBN Legal business name Bennett, Anthony Arlo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 13th, 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 1801866397 NPPES
Michigan Other AB063302 LICENSE
Michigan Other 700H219330 LICENSE
Michigan Other 3009301771 LICENSE
Michigan Other MI3594001 LICENSE

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