Bennett, Ralph Edward
Bennett, Ralph Edward is an individual health care provider with primary practice located at 2152 S Vineyard Ste 129 , Mesa AZ 85210-6882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bennett, Ralph Edward can be contacted via phone (480) 443-8400.Contact Information
Primary practice address
2152 S Vineyard Ste 129
Mesa AZ 85210-6882
Phone: (480) 443-8400
Fax: (480) 443-8697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 13996 | Arizona |
Profile Details
| NPI number | 1366433161 |
|---|---|
| LBN Legal business name | Bennett, Ralph Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Aug 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366433161 | NPPES |
| Arizona | MEDICAID | 247909 | |
| Arizona | Other | ZWDBCB02 |
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