Bennett, Michael Thomas

Bennett, Michael Thomas is an individual health care provider with primary practice located at 8008 Frost St Ste 200, San Diego CA 92123-4205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bennett, Michael Thomas can be contacted via phone (858) 292-7527.

Contact Information

Primary practice address
8008 Frost St Ste 200 San Diego CA 92123-4205
Phone: (858) 292-7527
Fax: (858) 292-7804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G37728 California

Profile Details

NPI number 1700895927
LBN Legal business name Bennett, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 10th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700895927 NPPES
California MEDICAID GR0027570

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