Bennett, Jon Michael
Bennett, Jon Michael is an individual health care provider with primary practice located at 7900 N Kings Hwy , Myrtle Beach SC 29572-3055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bennett, Jon Michael can be contacted via phone (843) 449-3381.Contact Information
Primary practice address
7900 N Kings Hwy
Myrtle Beach SC 29572-3055
Phone: (843) 449-3381
Fax: (843) 449-9721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 37755 | South Carolina |
Profile Details
| NPI number | 1366427841 |
|---|---|
| LBN Legal business name | Bennett, Jon Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Oct 10th, 2023 - about last year |
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 | 1366427841 | NPPES |
| California | MEDICAID | 00AX74530 |
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