Bennett, Sean Robert

Bennett, Sean Robert is an sole proprietor health care provider with primary practice located at 433 Ednam Drive , Charlottesville VA 22903. He recently has only one registered license in Ambulatory Health Care Facilities / Research, which is considered as his primary health care specialty. Bennett, Sean Robert can be contacted via phone (603) 236-2258.

Contact Information

Primary practice address
433 Ednam Drive Charlottesville VA 22903
Phone: (603) 236-2258
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Research 261QR1100X 0101240200 Virginia

Profile Details

NPI number 1205480753
LBN Legal business name Bennett, Sean Robert
Credentials MD PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2019
Last updated Aug 1st, 2019 - about 5 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 1205480753 NPPES
Virginia Other 0101242200 MEDICAL LICENSE

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