Bennett, Joan Violet

Bennett, Joan Violet is an individual health care provider with primary practice located at 21 Crossroads Dr Ste 100, Owings Mills MD 21117-5441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bennett, Joan Violet can be contacted via phone (410) 356-8186.

Contact Information

Primary practice address
21 Crossroads Dr Ste 100 Owings Mills MD 21117-5441
Fax: (410) 356-4180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0032983 Maryland

Profile Details

NPI number 1598736357
LBN Legal business name Bennett, Joan Violet
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 9th, 2007 - about 17 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 1598736357 NPPES
Maryland Other KA80 B/C B/S
Maryland Other 2849 B/C B/S
Maryland Other J062 B/C B/S

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