Bennion, Jeffrey Green

Bennion, Jeffrey Green is an individual health care provider with primary practice located at 2245 N 400 E Ste 301, North Logan UT 84341-1892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Bennion, Jeffrey Green can be contacted via phone (435) 753-7880.

Contact Information

Primary practice address
2245 N 400 E Ste 301 North Logan UT 84341-1892
Phone: (435) 753-7880
Fax: (435) 753-5845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 274201-1205 Utah

Profile Details

NPI number 1396731469
LBN Legal business name Bennion, Jeffrey Green
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Mar 7th, 2023 - about last year

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 1396731469 NPPES
Idaho Other 7054 IDAHO BOARD OF PHARMACY
Idaho Other 274201-9915 IDAHO BOARD OF PHARMACY
Idaho Other M-6924 IDAHO BOARD OF PHARMACY

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