Bennett, William

Bennett, William is an individual health care provider with primary practice located at 1850 Gause Blvd E Suite 202, Slidell LA 70461-5442. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bennett, William can be contacted via phone (985) 639-3777.

Contact Information

Primary practice address
1850 Gause Blvd E Suite 202 Slidell LA 70461-5442
Phone: (985) 639-3777
Fax: (985) 661-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD.202733 Louisiana

Profile Details

NPI number 1023288792
LBN Legal business name Bennett, William
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2008
Last updated Nov 14th, 2016 - about 8 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 1023288792 NPPES
Mississippi MEDICAID 07156869
Mississippi MEDICAID 1507709

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