Jarvis, Bennie L
Jarvis, Bennie L is an individual health care provider with primary practice located at 250 Nash Medical Arts Mall Suite D, Rocky Mount NC 27804-1470. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Jarvis, Bennie L can be contacted via phone (252) 962-5300.Contact Information
Primary practice address
250 Nash Medical Arts Mall Suite D
Rocky Mount NC 27804-1470
Phone: (252) 962-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 38988 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 38988 | North Carolina |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207YS0012X | 38988 | North Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 38988 | North Carolina |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 38988 | North Carolina |
Profile Details
| NPI number | 1942206958 |
|---|---|
| LBN Legal business name | Jarvis, Bennie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | May 10th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942206958 | NPPES |
| North Carolina | MEDICAID | 8945851 |
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