Bennett, Chisum

Bennett, Chisum is an individual health care provider with primary practice located at 401 S 23Rd St , Worland WY 82401-3725. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bennett, Chisum 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:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1023773504
LBN Legal business name Bennett, Chisum
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Dec 14th, 2021 - about 5 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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