Bennett-Granata, Leslie

Bennett-Granata, Leslie is an individual health care provider with primary practice located at 451 Hidden Meadows Dr Suite 120, Hillsdale MI 49242-9812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett-Granata, Leslie can be contacted via phone (517) 437-0010.

Contact Information

Primary practice address
451 Hidden Meadows Dr Suite 120 Hillsdale MI 49242-9812
Phone: (517) 437-0010
Fax: (517) 437-0319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301075087 Michigan

Profile Details

NPI number 1093713679
LBN Legal business name Bennett-Granata, Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 14th, 2017 - about 7 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 1093713679 NPPES
Michigan Other P107546 BCN
Michigan Other 080160720 BCN
Michigan Other 103257 BCN
Michigan Other 0120145 BCN
Michigan Other 0803000492 BCN
Michigan MEDICAID 4210900 BCN

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