Bennett, Bruce A

Bennett, Bruce A is an individual health care provider with primary practice located at 401 Phalen Blvd Mail Stop 41104A, St Paul MN 55101-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bennett, Bruce A can be contacted via phone (651) 254-7980.

Contact Information

Primary practice address
401 Phalen Blvd Mail Stop 41104A St Paul MN 55101-5302
Phone: (651) 254-7980
Fax: (651) 254-7969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 36874 Minnesota

Profile Details

NPI number 1750356622
LBN Legal business name Bennett, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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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