Bennett, Nicole M

Bennett, Nicole M is an individual health care provider with primary practice located at 3725 Bonita Beach Rd Ste 4 , Bonita Springs FL 34134-1400. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bennett, Nicole M can be contacted via phone (239) 763-1288.

Contact Information

Primary practice address
3725 Bonita Beach Rd Ste 4 Bonita Springs FL 34134-1400
Phone: (239) 763-1288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8675 Florida

Profile Details

NPI number 1962463752
LBN Legal business name Bennett, Nicole M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 22nd, 2023 - about 2 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 1962463752 NPPES
Florida MEDICAID 381769501

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