Bennett, Larry Michael
Bennett, Larry Michael is an sole proprietor health care provider with primary practice located at 217 West Broadway , Mt Pleasant MI 48858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bennett, Larry Michael can be contacted via phone (989) 773-4433.Contact Information
Primary practice address
217 West Broadway
Mt Pleasant MI 48858
Phone: (989) 773-4433
Fax: (989) 772-9522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LB050345 | Michigan |
Profile Details
| NPI number | 1134132038 |
|---|---|
| LBN Legal business name | Bennett, Larry Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Oct 20th, 2016 - about 8 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 | 1134132038 | NPPES |
| Michigan | Other | 1103710492 | BCBS |
| Michigan | MEDICAID | 1134132038 | BCBS |
| Michigan | Other | 110097379 | BCBS |
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