Bennett, Charles Nelson

Bennett, Charles Nelson is an sole proprietor health care provider with primary practice located at 301 S Palm Ave , Palatka FL 32177-4143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Bennett, Charles Nelson can be contacted via phone (386) 328-7493.

Contact Information

Primary practice address
301 S Palm Ave Palatka FL 32177-4143
Phone: (386) 328-7493
Fax: (386) 328-4137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 035737 Florida

Profile Details

NPI number 1659373330
LBN Legal business name Bennett, Charles Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2005
Last updated Feb 24th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659373330 NPPES
Florida Other 7522348 AETNA
Florida MEDICAID 042618100 AETNA

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