Bennick, Michael C

Bennick, Michael C is an individual health care provider with primary practice located at 40 Temple St Suite 4A, New Haven CT 06510-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bennick, Michael C can be contacted via phone (203) 777-0304.

Contact Information

Primary practice address
40 Temple St Suite 4A New Haven CT 06510-2715
Phone: (203) 777-0304
Fax: (203) 401-4687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 029125 Connecticut

Profile Details

NPI number 1720129034
LBN Legal business name Bennick, Michael C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Mar 2nd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720129034 NPPES
Connecticut MEDICAID 001291252

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