Bennett, Daine Thompson

Bennett, Daine Thompson is an individual health care provider with primary practice located at 401 W Hampden Pl Ste 210 , Englewood CO 80110-2473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Bennett, Daine Thompson can be contacted via phone (303) 722-6960.

Contact Information

Primary practice address
401 W Hampden Pl Ste 210 Englewood CO 80110-2473
Phone: (303) 722-6960
Fax: (303) 722-0462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R7169 Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X R7169 Texas
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 0057147 Colorado

Profile Details

NPI number 1679899660
LBN Legal business name Bennett, Daine Thompson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated Jun 7th, 2023 - about 2 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 1679899660 NPPES
Colorado MEDICAID 9000172477

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