Bennett, John Mark

Bennett, John Mark is an individual health care provider with primary practice located at 281 E Main St , Forest City NC 28043-3126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bennett, John Mark can be contacted via phone (828) 245-6400.

Contact Information

Primary practice address
281 E Main St Forest City NC 28043-3126
Fax: (828) 245-3838
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32922 North Carolina

Profile Details

NPI number 1033189717
LBN Legal business name Bennett, John Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Nov 24th, 2020 - about 5 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 1033189717 NPPES
North Carolina Other 080115284 MEDICARE RR
North Carolina Other 2150033E MEDICARE RR
North Carolina Other P01445426 MEDICARE RR
North Carolina Other 44365 MEDICARE RR
North Carolina MEDICAID 8914885 MEDICARE RR

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