Mcallister, Bennett William
Mcallister, Bennett William is an sole proprietor health care provider with primary practice located at 4161 Tamiami Trl Ste 304D , Port Charlotte FL 33952-9254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcallister, Bennett William can be contacted via phone (941) 625-5895.Contact Information
Primary practice address
4161 Tamiami Trl Ste 304D
Port Charlotte FL 33952-9254
Phone: (941) 625-5895
Fax: (941) 625-1047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME104685 | Florida |
Profile Details
| NPI number | 1275704157 |
|---|---|
| LBN Legal business name | Mcallister, Bennett William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Feb 26th, 2024 - about 10 months 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 | 1275704157 | NPPES |
| Florida | Other | CH842Y | MEDICARE PTAN |
| Florida | MEDICAID | 017596500 | MEDICARE PTAN |
| Florida | MEDICAID | 114514100 | MEDICARE PTAN |
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