Bennion, John Wayne
Bennion, John Wayne is an sole proprietor health care provider with primary practice located at 152 S 32Nd St W Suite B, Billings MT 59102-6848. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bennion, John Wayne can be contacted via phone (406) 655-0170.Contact Information
Primary practice address
152 S 32Nd St W Suite B
Billings MT 59102-6848
Phone: (406) 655-0170
Fax: (406) 655-2271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1516 | Montana |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5246 | Montana |
Profile Details
| NPI number | 1265530133 |
|---|---|
| LBN Legal business name | Bennion, John Wayne |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1265530133 | NPPES |
| Montana | MEDICAID | 0112625 | |
| Montana | Other | P00053799 | |
| Montana | Other | 41004 | |
| Montana | Other | 5512234 |
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