Bennie, Jeffrey

Bennie, Jeffrey is an individual health care provider with primary practice located at 110 29Th Ave N Ste 202, Nashville TN 37203-1448. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bennie, Jeffrey can be contacted via phone (615) 327-4304.

Contact Information

Primary practice address
110 29Th Ave N Ste 202 Nashville TN 37203-1448
Phone: (615) 327-4304
Fax: (615) 327-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021631 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21631 Tennessee

Profile Details

NPI number 1316942469
LBN Legal business name Bennie, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 20th, 2008 - about 16 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 1316942469 NPPES
Georgia MEDICAID 610596345A
Georgia MEDICAID 3058871
Georgia MEDICAID 009991815
Georgia Other 3029953
Georgia MEDICAID 64911480

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