Bennett, Stephanie B

Bennett, Stephanie B is an individual health care provider with primary practice located at 229 Line Rd , Malvern PA 19355-3320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Stephanie B can be contacted via phone (610) 644-5993.

Contact Information

Primary practice address
229 Line Rd Malvern PA 19355-3320
Fax: (610) 407-9045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS009106L Pennsylvania

Profile Details

NPI number 1588603641
LBN Legal business name Bennett, Stephanie B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588603641 NPPES
Pennsylvania MEDICAID 0017367030003

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