Bennett, Michael E.

Bennett, Michael E. is an individual health care provider with primary practice located at 110 E Harrison Ave , Guthrie OK 73044-4839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bennett, Michael E. can be contacted via phone (405) 282-4396.

Contact Information

Primary practice address
110 E Harrison Ave Guthrie OK 73044-4839
Phone: (405) 282-4396
Fax: (405) 282-8298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1099 Oklahoma

Profile Details

NPI number 1558473868
LBN Legal business name Bennett, Michael E.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 13th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558473868 NPPES
Oklahoma MEDICAID 100766560A

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