Bennett, Wade G

Bennett, Wade G is an individual health care provider with primary practice located at 9285 Hepburn St , Highlands Ranch CO 80129-2262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bennett, Wade G can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
9285 Hepburn St Highlands Ranch CO 80129-2262
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X CA13524 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2990 Colorado

Profile Details

NPI number 1639128192
LBN Legal business name Bennett, Wade G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 25th, 2011 - about 14 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 1639128192 NPPES
Colorado MEDICAID 40534278
Colorado Other 021056

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