Bennett, Garrison S.

Bennett, Garrison S. is an individual health care provider with primary practice located at 15769 Wc Main St , Midlothian VA 23113-7327. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bennett, Garrison S. can be contacted via phone (804) 419-9760.

Contact Information

Primary practice address
15769 Wc Main St Midlothian VA 23113-7327
Phone: (804) 419-9760
Fax: (804) 378-9140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101102655 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101-102655 Virginia

Profile Details

NPI number 1114990009
LBN Legal business name Bennett, Garrison S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 25th, 2013 - about 11 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 1114990009 NPPES
Virginia Other 10002698 OPTIMA
Virginia Other 5163353 OPTIMA
Virginia Other 540883363 OPTIMA
Virginia Other 540883363 OPTIMA
Virginia Other 540883363 OPTIMA
Virginia Other 7076211 OPTIMA
Virginia Other 3071733 OPTIMA
Virginia Other 540883363 OPTIMA
Virginia Other 726824 OPTIMA
Virginia Other 5163353 OPTIMA
Virginia MEDICAID 1114990009 OPTIMA
Virginia Other 308372 OPTIMA

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