Bennett, Justina A

Bennett, Justina A is an individual health care provider with primary practice located at 85 Thomas Johnson Ct, Suite C Internal Medicine Specialists Of Frederick, Frederick MD 21702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bennett, Justina A can be contacted via phone (301) 668-9393.

Contact Information

Primary practice address
85 Thomas Johnson Ct, Suite C Internal Medicine Specialists Of Frederick Frederick MD 21702
Phone: (301) 668-9393
Fax: (301) 668-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C03652 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0003652 Maryland

Profile Details

NPI number 1598946006
LBN Legal business name Bennett, Justina A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2007
Last updated May 10th, 2017 - about 7 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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