Bennett, John M
Bennett, John M is an individual health care provider with primary practice located at 145 Thunder Dr , Vista CA 92083-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bennett, John M can be contacted via phone (760) 941-1440.Contact Information
Primary practice address
145 Thunder Dr
Vista CA 92083-6010
Phone: (760) 941-1440
Fax: (760) 630-5477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C42311 | California |
Profile Details
| NPI number | 1063585552 |
|---|---|
| LBN Legal business name | Bennett, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Oct 26th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063585552 | NPPES |
| California | MEDICAID | 00C423110 |
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