Bennett, Jeffery Rusten

Bennett, Jeffery Rusten is an individual health care provider with primary practice located at 316 Calhoun St Attn: Radiology Department, Charleston SC 29401-1113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Jeffery Rusten can be contacted via phone (843) 724-2000.

Contact Information

Primary practice address
316 Calhoun St Attn: Radiology Department Charleston SC 29401-1113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2004-00341 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29827 South Carolina

Profile Details

NPI number 1770597528
LBN Legal business name Bennett, Jeffery Rusten
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 13th, 2014 - about 10 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 1770597528 NPPES
South Carolina MEDICAID 298270
South Carolina Other P00403138

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