Bennett, Loren Wallace

Bennett, Loren Wallace is an individual health care provider with primary practice located at James H. Quillen Vamc, Sidney/Lamont St Eye Clinic 112E, Mountain Home TN 37684. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bennett, Loren Wallace can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
James H. Quillen Vamc, Sidney/Lamont St Eye Clinic 112E Mountain Home TN 37684
Phone: (423) 926-1171
Fax: (423) 979-3530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1409 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X 4003 Ohio

Profile Details

NPI number 1215989603
LBN Legal business name Bennett, Loren Wallace
Credentials O.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 8th, 2008 - about 17 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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