Bennett, Matthew P
Bennett, Matthew P is an sole proprietor health care provider with primary practice located at 2804 Dr John Haynes Dr , Pell City AL 35125-1438. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bennett, Matthew P can be contacted via phone (205) 338-6655.Contact Information
Primary practice address
2804 Dr John Haynes Dr
Pell City AL 35125-1438
Phone: (205) 338-6655
Fax: (205) 338-6658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 00015383 | Alabama |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 15383 | Alabama |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 15383 | Alabama |
Profile Details
| NPI number | 1144205899 |
|---|---|
| LBN Legal business name | Bennett, Matthew P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | May 15th, 2019 - about 5 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 | 1144205899 | NPPES |
| Alabama | MEDICAID | 000046345 | |
| Alabama | MEDICAID | 000051302 | |
| Alabama | Other | 51051302 | |
| Alabama | Other | 515-50606 | |
| Alabama | MEDICAID | 051550606 | |
| Alabama | Other | 51046345 | |
| Alabama | MEDICAID | 137875 | |
| Alabama | Other | 051051302 | |
| Alabama | MEDICAID | 051557203 | |
| Alabama | Other | 51545536 |
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