Hollenberg, Bennett Roy

Hollenberg, Bennett Roy is an individual health care provider with primary practice located at 3623 Latrobe Dr Suite 216, Charlotte NC 28211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Hollenberg, Bennett Roy can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Suite 216 Charlotte NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 29595 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29595 North Carolina

Profile Details

NPI number 1164496402
LBN Legal business name Hollenberg, Bennett Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Sep 29th, 2020 - about 4 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 1164496402 NPPES
South Carolina MEDICAID N29595
South Carolina MEDICAID 8943116

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