Bennett, Shelby James

Bennett, Shelby James is an individual health care provider with primary practice located at 8020 Constitution Pl Ne Suite 202, Albuquerque NM 87110-7607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bennett, Shelby James can be contacted via phone (505) 998-3096.

Contact Information

Primary practice address
8020 Constitution Pl Ne Suite 202 Albuquerque NM 87110-7607
Phone: (505) 998-3096
Fax: (505) 998-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD2016-0226 New Mexico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2016-0226 New Mexico

Profile Details

NPI number 1538473491
LBN Legal business name Bennett, Shelby James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Nov 15th, 2023 - about last year

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 1538473491 NPPES
New Mexico MEDICAID 79288758

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