Bennett, Daniel Bruce

Bennett, Daniel Bruce is an sole proprietor health care provider with primary practice located at 1000 E Matthews Ave Suite B, Jonesboro AR 72401-4307. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bennett, Daniel Bruce can be contacted via phone (870) 932-6883.

Contact Information

Primary practice address
1000 E Matthews Ave Suite B Jonesboro AR 72401-4307
Phone: (870) 932-6883
Fax: (870) 972-0719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X E2282 Arkansas

Profile Details

NPI number 1447363833
LBN Legal business name Bennett, Daniel Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jun 13th, 2016 - about 9 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 1447363833 NPPES
Arkansas MEDICAID 138617001

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