Bennet, John

Bennet, John is an individual health care provider with primary practice located at 26040 Detroit Rd Suite 7, Westlake OH 44145-2481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bennet, John can be contacted via phone (440) 871-1717.

Contact Information

Primary practice address
26040 Detroit Rd Suite 7 Westlake OH 44145-2481
Fax: (440) 871-3098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35 056333 Ohio

Profile Details

NPI number 1255435798
LBN Legal business name Bennet, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 10th, 2011 - about 15 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 1255435798 NPPES
Ohio MEDICAID 0875236

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