Bennett, Paul John
Bennett, Paul John is an individual health care provider with primary practice located at 100 Ne Randolph Ave , Peoria IL 61606-1919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bennett, Paul John can be contacted via phone (309) 683-8170.Contact Information
Primary practice address
100 Ne Randolph Ave
Peoria IL 61606-1919
Phone: (309) 683-8170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 070019448 | Illinois |
Profile Details
| NPI number | 1780933770 |
|---|---|
| LBN Legal business name | Bennett, Paul John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2012 |
| Last updated | Sep 5th, 2012 - about 12 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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