Bennett, Davon

Bennett, Davon is an sole proprietor health care provider with primary practice located at 525 S 10Th St , Newark NJ 07103-1828. He recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Case Management, Agencies / Supports Brokerage. Agencies / Community/Behavioral Health is his primary health care specialty. Bennett, Davon can be contacted via phone (862) 588-1277.

Contact Information

Primary practice address
525 S 10Th St Newark NJ 07103-1828
Phone: (862) 588-1277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Case Management 251B00000X New Jersey
Agencies / Supports Brokerage 251X00000X New Jersey

Profile Details

NPI number 1699151977
LBN Legal business name Bennett, Davon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2015
Last updated Aug 10th, 2015 - about 11 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.

Request for update

Popular Providers