Bennett, Mary T.
Bennett, Mary T. is an individual health care provider with primary practice located at 9040 A Reid St , Tacoma WA 98431-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bennett, Mary T. can be contacted via phone (253) 968-3162.Contact Information
Primary practice address
9040 A Reid St
Tacoma WA 98431-0001
Phone: (253) 968-3162
Fax: (253) 968-3278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30004436 | Washington |
Profile Details
| NPI number | 1174798011 |
|---|---|
| LBN Legal business name | Bennett, Mary T. |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 2008 - about 16 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 | 1174798011 | NPPES |
| Washington | MEDICAID | 331-8907 |
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