Bennett, John D.

Bennett, John D. is an individual health care provider with primary practice located at 2 Palisades Dr , Albany NY 12205-1438. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bennett, John D. can be contacted via phone (518) 458-2000.

Contact Information

Primary practice address
2 Palisades Dr Albany NY 12205-1438
Fax: (518) 458-1524
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 138908 New York

Profile Details

NPI number 1336147651
LBN Legal business name Bennett, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 8th, 2007 - about 18 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 1336147651 NPPES
New York MEDICAID 00915233

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