Bennett, Amber

Bennett, Amber is an individual health care provider with primary practice located at 401 S 23Rd St , Worland WY 82401-3725. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Bennett, Amber can be contacted via phone (307) 347-6165.

Contact Information

Primary practice address
401 S 23Rd St Worland WY 82401-3725
Phone: (307) 347-6165
Fax: (307) 347-6166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1417248311
LBN Legal business name Bennett, Amber
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2011
Last updated Apr 8th, 2014 - about 12 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 1417248311 NPPES
Wyoming MEDICAID 106352907
Wyoming MEDICAID 106352908

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