Bennett, Donald Walter

Bennett, Donald Walter is an individual health care provider with primary practice located at 1935 Bluegrass Ave Suite 200, Louisville KY 40215-1179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bennett, Donald Walter can be contacted via phone (502) 895-0040.

Contact Information

Primary practice address
1935 Bluegrass Ave Suite 200 Louisville KY 40215-1179
Phone: (502) 895-0040
Fax: (502) 361-4488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 23368 Kentucky

Profile Details

NPI number 1013991165
LBN Legal business name Bennett, Donald Walter
Credentials OD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 23rd, 2013 - about 12 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 1013991165 NPPES
Kentucky MEDICAID 64233687
Kentucky MEDICAID 200101170

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