Bennett, D. John

Bennett, D. John is an individual health care provider with primary practice located at 325 W Center Street , Spanish Fork UT 84660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennett, D. John can be contacted via phone (801) 798-7301.

Contact Information

Primary practice address
325 W Center Street Spanish Fork UT 84660
Fax: (801) 798-8513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 187592-1205 Utah

Profile Details

NPI number 1508968777
LBN Legal business name Bennett, D. John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1508968777 NPPES
Utah MEDICAID D0463

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