Bennett, Carolyn Bonita
Bennett, Carolyn Bonita is an sole proprietor health care provider with primary practice located at 808 Georgia Ave , Fort Pierce FL 34950-9348. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Bennett, Carolyn Bonita can be contacted via phone (772) 216-2815.Contact Information
Primary practice address
808 Georgia Ave
Fort Pierce FL 34950-9348
Phone: (772) 216-2815
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1225685548 |
|---|---|
| LBN Legal business name | Bennett, Carolyn Bonita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2019 |
| Last updated | Aug 21st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225685548 | NPPES |
| Florida | MEDICAID | 9999999999 |
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