Bennett, John David

Bennett, John David is an individual health care provider with primary practice located at 3200 Grand Ave , Des Moines IA 50312-4104. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bennett, John David can be contacted via phone (515) 271-1731.

Contact Information

Primary practice address
3200 Grand Ave Des Moines IA 50312-4104
Phone: (515) 271-1731
Fax: (515) 271-1692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00653 Iowa

Profile Details

NPI number 1124010889
LBN Legal business name Bennett, John David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Feb 12th, 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 1124010889 NPPES
Iowa MEDICAID 0172239

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