Bennett, David
Bennett, David is an sole proprietor health care provider with primary practice located at 1835 Newport Blvd #A109-161, Costa Mesa CA 92627-5031. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bennett, David can be contacted via phone (949) 548-1976.Contact Information
Primary practice address
1835 Newport Blvd #A109-161
Costa Mesa CA 92627-5031
Phone: (949) 548-1976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC21238 | California |
Profile Details
| NPI number | 1083743777 |
|---|---|
| LBN Legal business name | Bennett, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1083743777 | NPPES |
| California | Other | DC21238 | CHIROPRACTIC LICENSE |
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