Bennett, John R

Bennett, John R is an individual health care provider with primary practice located at 203 S Western Ave C/O: Credentialing, Tonasket WA 98855. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bennett, John R can be contacted via phone (509) 486-2151.

Contact Information

Primary practice address
203 S Western Ave C/O: Credentialing Tonasket WA 98855
Phone: (509) 486-2151
Fax: (509) 486-3176
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD00020703 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00020703 Washington

Profile Details

NPI number 1558385666
LBN Legal business name Bennett, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jan 20th, 2021 - 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 1558385666 NPPES
Washington MEDICAID 1558385666

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