Bennett, Ivan R

Bennett, Ivan R is an individual health care provider with primary practice located at 7798 Discovery Dr. , West Chester OH 45069-6542. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bennett, Ivan R can be contacted via phone (513) 939-2263.

Contact Information

Primary practice address
7798 Discovery Dr. West Chester OH 45069-6542
Phone: (513) 939-2263
Fax: (513) 874-4579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50-002463 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002463 Ohio

Profile Details

NPI number 1184658056
LBN Legal business name Bennett, Ivan R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Feb 26th, 2018 - 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 1184658056 NPPES
Kentucky MEDICAID 7100001230
Kentucky Other BEPA27101

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