Bennett, Autumn Lee

Bennett, Autumn Lee is an individual health care provider with primary practice located at 1001 E 17Th St , Bloomington IN 47408-1590. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Bennett, Autumn Lee can be contacted via phone (517) 331-4654.

Contact Information

Primary practice address
1001 E 17Th St Bloomington IN 47408-1590
Phone: (517) 331-4654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36003760A Indiana

Profile Details

NPI number 1891461729
LBN Legal business name Bennett, Autumn Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Jul 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.

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