Bennett, Frederick S

Bennett, Frederick S is an individual health care provider with primary practice located at 1162 Montgomery Dr Ste 3 , Santa Rosa CA 95405-4802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bennett, Frederick S can be contacted via phone (707) 890-4250.

Contact Information

Primary practice address
1162 Montgomery Dr Ste 3 Santa Rosa CA 95405-4802
Phone: (707) 890-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X G64646 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G64646 California

Profile Details

NPI number 1205879830
LBN Legal business name Bennett, Frederick S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 14th, 2023 - about last year

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 1205879830 NPPES
California MEDICAID 00G646460
California Other 00G646460
California Other G64646

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