Bennett Clinic Llc

LBN: Bennett Clinic Llc
Bennett Clinic Llc is an health care organization with primary practice located at 7876 E Florentine Rd , Prescott Valley AZ 86314-2216. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Bennett Clinic Llc can be contacted via phone (928) 772-7200, or through Bennett, Wayne A via phone (928) 772-7200.

Contact Information

Primary practice address
7876 E Florentine Rd Prescott Valley AZ 86314-2216
Fax: (928) 772-7779
Website:
Authorized official contact:
Name: Bennett, Wayne A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 20636829-L Arizona

Profile Details

NPI number 1316236995
LBN Legal business name Bennett Clinic Llc
DBA Doing business as
Authorized official Bennett, Wayne A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2011
Last updated Apr 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316236995 NPPES
Arizona Other Z139537 MEDICARE PTAN

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