Bennett, Daniel David
Bennett, Daniel David is an individual health care provider with primary practice located at 451 Junction Rd , Madison WI 53717-2656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Bennett, Daniel David can be contacted via phone (608) 265-0700.Contact Information
Primary practice address
451 Junction Rd
Madison WI 53717-2656
Phone: (608) 265-0700
Fax: (608) 265-7759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 55701 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 55701 | Wisconsin |
Profile Details
| NPI number | 1265492490 |
|---|---|
| LBN Legal business name | Bennett, Daniel David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Jan 5th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265492490 | NPPES |
| Texas | MEDICAID | 1655383-03 |
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