Bennett, Amanda K

Bennett, Amanda K is an individual health care provider with primary practice located at 2585 3Rd Avenue , Huntington WV 25703. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bennett, Amanda K can be contacted via phone (304) 781-5138.

Contact Information

Primary practice address
2585 3Rd Avenue Huntington WV 25703
Phone: (304) 781-5138
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101238081 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21674 West Virginia

Profile Details

NPI number 1578533345
LBN Legal business name Bennett, Amanda K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 29th, 2008 - about 18 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 1578533345 NPPES
West Virginia Other 00318137 RAILROAD MEDICARE
West Virginia MEDICAID 3810005272 RAILROAD MEDICARE
West Virginia MEDICAID 2655827 RAILROAD MEDICARE

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