Bennett, Timber
Bennett, Timber is an sole proprietor health care provider with primary practice located at 2633 Steppington St , Grand Prairie TX 75052-4003. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bennett, Timber can be contacted via phone (817) 805-4614.Contact Information
Primary practice address
2633 Steppington St
Grand Prairie TX 75052-4003
Phone: (817) 805-4614
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT124884 | Texas |
Profile Details
| NPI number | 1497357719 |
|---|---|
| LBN Legal business name | Bennett, Timber |
| Credentials | MMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2020 |
| Last updated | Nov 11th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497357719 | NPPES |
| Texas | MEDICAID | MT124884 | |
| Texas | Other | MT124884 |
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