Bennett, Jacob Alan

Bennett, Jacob Alan is an individual health care provider with primary practice located at 25 Courtenay Dr Ste 4200 , Charleston SC 29425-4001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as his primary health care specialty. Bennett, Jacob Alan can be contacted via phone (843) 876-5744.

Contact Information

Primary practice address
25 Courtenay Dr Ste 4200 Charleston SC 29425-4001
Phone: (843) 876-5744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 28580 South Carolina

Profile Details

NPI number 1083499297
LBN Legal business name Bennett, Jacob Alan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2023
Last updated May 8th, 2024 - about last year

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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