Bennett, Mark James
Bennett, Mark James is an individual health care provider with primary practice located at 2525 Colonial Dr Suite B, Helena MT 59601-4902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bennett, Mark James can be contacted via phone (406) 449-4279.Contact Information
Primary practice address
2525 Colonial Dr Suite B
Helena MT 59601-4902
Phone: (406) 449-4279
Fax: (406) 449-8043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1720PT | Montana |
Profile Details
| NPI number | 1013987460 |
|---|---|
| LBN Legal business name | Bennett, Mark James |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Dec 27th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013987460 | NPPES |
| Montana | Other | 0173627 | WAWC |
| Montana | MEDICAID | 3400124 | WAWC |
| Montana | Other | MSF1224544 | WAWC |
| Montana | Other | 841391220014 | WAWC |
| Montana | Other | P00043272 | WAWC |
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