Bennett, David Scott
Bennett, David Scott is an individual health care provider with primary practice located at 6080 N Oak Trfy , Gladstone MO 64118-5165. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bennett, David Scott can be contacted via phone (816) 453-5814.Contact Information
Primary practice address
6080 N Oak Trfy
Gladstone MO 64118-5165
Phone: (816) 453-5814
Fax: (816) 453-2859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | T02633 | Missouri |
Profile Details
| NPI number | 1669455747 |
|---|---|
| LBN Legal business name | Bennett, David Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 26th, 2011 - about 13 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 | 1669455747 | NPPES |
| Missouri | MEDICAID | 312478241 |
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