Bennett, Virginia H

Bennett, Virginia H is an sole proprietor health care provider with primary practice located at 223 East Center St , Manchester CT 06040. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bennett, Virginia H can be contacted via phone (860) 647-1582.

Contact Information

Primary practice address
223 East Center St Manchester CT 06040
Phone: (860) 647-1582
Fax: (860) 647-1582
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 00173 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 0281025-01 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 001713 Connecticut

Profile Details

NPI number 1619190212
LBN Legal business name Bennett, Virginia H
Credentials CNS, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Mar 7th, 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 1619190212 NPPES
Other 028102501 CLINICAL SPECIAL ADULT ME
MEDICAID 4200284 CLINICAL SPECIAL ADULT ME
Other 01713 CLINICAL SPECIAL ADULT ME

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