Bennett, William Ira
Bennett, William Ira is an sole proprietor health care provider with primary practice located at 49 Hancock St 204, Cambridge MA 02139-3188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bennett, William Ira can be contacted via phone (617) 576-6199.Contact Information
Primary practice address
49 Hancock St 204
Cambridge MA 02139-3188
Phone: (617) 576-6199
Fax: (617) 628-1617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 73876 | Massachusetts |
Profile Details
| NPI number | 1922068600 |
|---|---|
| LBN Legal business name | Bennett, William Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 19th, 2011 - about 13 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 | 1922068600 | NPPES |
| Massachusetts | MEDICAID | 3124151 |
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