Bennett, Mark Kenneth

Bennett, Mark Kenneth is an individual health care provider with primary practice located at 4403 Harrison Blvd Suite 1815, Ogden UT 84403-3339. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Bennett, Mark Kenneth can be contacted via phone (801) 387-6520.

Contact Information

Primary practice address
4403 Harrison Blvd Suite 1815 Ogden UT 84403-3339
Phone: (801) 387-6520
Fax: (801) 387-6525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8134401-8906 Utah
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 8134401-1206 Utah

Profile Details

NPI number 1871859223
LBN Legal business name Bennett, Mark Kenneth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2012
Last updated Sep 9th, 2019 - about 6 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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