Bennington, Garth A

Bennington, Garth A is an individual health care provider with primary practice located at 1717 W Main St Suite 200, Newark OH 43055-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bennington, Garth A can be contacted via phone (220) 564-4823.

Contact Information

Primary practice address
1717 W Main St Suite 200 Newark OH 43055-1347
Fax: (220) 564-1892
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.084682 Ohio

Profile Details

NPI number 1184606303
LBN Legal business name Bennington, Garth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Mar 18th, 2021 - about 3 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 1184606303 NPPES
Ohio MEDICAID 2528456

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