Bennett, Genvieve Nicole

Bennett, Genvieve Nicole is an individual health care provider with primary practice located at 4771 Trier Rd , Fort Wayne IN 46815-4968. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bennett, Genvieve Nicole can be contacted via phone (260) 492-8300.

Contact Information

Primary practice address
4771 Trier Rd Fort Wayne IN 46815-4968
Phone: (260) 492-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT21906886 Indiana

Profile Details

NPI number 1306492079
LBN Legal business name Bennett, Genvieve Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2019
Last updated Aug 17th, 2019 - about 5 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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