Bennett, Holly D.

Bennett, Holly D. is an individual health care provider with primary practice located at 310 Chris Gaupp Dr Suite 102, Galloway NJ 08205-4461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bennett, Holly D. can be contacted via phone (609) 652-9933.

Contact Information

Primary practice address
310 Chris Gaupp Dr Suite 102 Galloway NJ 08205-4461
Phone: (609) 652-9933
Fax: (609) 652-9955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00322500 New Jersey

Profile Details

NPI number 1861784423
LBN Legal business name Bennett, Holly D.
Credentials R.N.APN,C.
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated May 13th, 2011 - about 14 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 1861784423 NPPES
New Jersey Other 195242 MEDICARE P10

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