Bennett, Gerry Jo

Bennett, Gerry Jo is an individual health care provider with primary practice located at Department Of Veterans Affairs 500 Foothill Blvd, Salt Lake City UT 84148-0001. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Bennett, Gerry Jo can be contacted via phone (801) 582-1565.

Contact Information

Primary practice address
Department Of Veterans Affairs 500 Foothill Blvd Salt Lake City UT 84148-0001
Phone: (801) 582-1565
Fax: (801) 584-2557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 212587-3102 Utah

Profile Details

NPI number 1215297353
LBN Legal business name Bennett, Gerry Jo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated May 23rd, 2012 - 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 1215297353 NPPES
Utah Other 212587-3102 DOPL ACTIVE LICENSE

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