Bennett, Lawrence Kirk

Bennett, Lawrence Kirk is an sole proprietor health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bennett, Lawrence Kirk can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
111 Doctor Cir Columbia SC 29203-6502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 25691 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25691 South Carolina

Profile Details

NPI number 1477569986
LBN Legal business name Bennett, Lawrence Kirk
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Oct 31st, 2022 - about 2 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 1477569986 NPPES
South Carolina MEDICAID FQC030
South Carolina MEDICAID FQC043

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