Bennett, Bernard Leroy

Bennett, Bernard Leroy is an individual health care provider with primary practice located at 21034 Pacific Coast Hwy # 2 , Huntington Beach CA 92648-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bennett, Bernard Leroy can be contacted via phone (888) 663-6331.

Contact Information

Primary practice address
21034 Pacific Coast Hwy # 2 Huntington Beach CA 92648-5335
Phone: (888) 663-6331
Fax: (510) 525-8982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C42114 California

Profile Details

NPI number 1871568899
LBN Legal business name Bennett, Bernard Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 8th, 2024 - about 6 months 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 1871568899 NPPES
North Carolina Other 1028P BLUE CROSS
North Carolina MEDICAID 891028P BLUE CROSS
North Carolina Other P00062870 BLUE CROSS
North Carolina Other DA5493 BLUE CROSS
North Carolina Other DO0034 BLUE CROSS
North Carolina Other P00651283 BLUE CROSS

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