Bennett, Michael Charles

Bennett, Michael Charles is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Im Gastroenterology, Saint Louis MO 63110-1003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bennett, Michael Charles can be contacted via phone (314) 747-2075.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Im Gastroenterology Saint Louis MO 63110-1003
Phone: (314) 747-2075
Fax: (314) 747-2460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2014010890 Missouri

Profile Details

NPI number 1346560448
LBN Legal business name Bennett, Michael Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2010
Last updated Apr 25th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1346560448 NPPES
Missouri MEDICAID 200046904

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