Bennett, Richard M

Bennett, Richard M is an individual health care provider with primary practice located at 1270 N Post Rd Ste A , Indianapolis IN 46219-4254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bennett, Richard M can be contacted via phone (317) 895-6095.

Contact Information

Primary practice address
1270 N Post Rd Ste A Indianapolis IN 46219-4254
Phone: (317) 895-6095
Fax: (317) 895-6195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01042286A Indiana

Profile Details

NPI number 1891709663
LBN Legal business name Bennett, Richard M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 19th, 2024 - about 10 months 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 1891709663 NPPES
Indiana Other 100194370 GROUP MEDICAID NUMBER
Indiana MEDICAID 200003540 GROUP MEDICAID NUMBER
Indiana Other 000000091691 GROUP MEDICAID NUMBER
Indiana Other 1487680518 GROUP MEDICAID NUMBER

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