Bennett, Robert J

Bennett, Robert J is an individual health care provider with primary practice located at 1813 W Harvard Ave , Roseburg OR 97471-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bennett, Robert J can be contacted via phone (541) 673-4303.

Contact Information

Primary practice address
1813 W Harvard Ave Roseburg OR 97471-2752
Phone: (541) 673-4303
Fax: (541) 440-9739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD13173 Oregon

Profile Details

NPI number 1982694386
LBN Legal business name Bennett, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 11th, 2015 - about 9 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 1982694386 NPPES
Oregon MEDICAID 265900

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