Bennett, Tonya

Bennett, Tonya is an sole proprietor health care provider with primary practice located at 2702 Ethel Ave , Indianapolis IN 46208-5160. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bennett, Tonya can be contacted via phone (317) 772-2673.

Contact Information

Primary practice address
2702 Ethel Ave Indianapolis IN 46208-5160
Phone: (317) 772-2673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144794454
LBN Legal business name Bennett, Tonya
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2019
Last updated Jan 24th, 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 1144794454 NPPES
Other 123456 RECOVERY WORKS

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