Bennett, Jeffrey Alan

Bennett, Jeffrey Alan is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Jeffrey Alan can be contacted via phone (520) 795-2889.

Contact Information

Primary practice address
677 N Wilmot Rd Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 55619 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME87320 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 53980 Arizona

Profile Details

NPI number 1851362396
LBN Legal business name Bennett, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Feb 20th, 2020 - about 4 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 1851362396 NPPES
Arizona MEDICAID 268368

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