Bennett, Reginald Theophilus

Bennett, Reginald Theophilus is an individual health care provider with primary practice located at 1601 Sw Archer Rd , Gainesville FL 32608-1135. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Bennett, Reginald Theophilus can be contacted via phone (352) 376-1611.

Contact Information

Primary practice address
1601 Sw Archer Rd Gainesville FL 32608-1135
Phone: (352) 376-1611
Fax: (352) 271-4534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1972754844
LBN Legal business name Bennett, Reginald Theophilus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2008
Last updated Oct 9th, 2008 - about 16 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 1972754844 NPPES
Other 222Z00000X VAMC

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