Bennett, Debra Dawn

Bennett, Debra Dawn is an sole proprietor health care provider with primary practice located at Rr 1 Box 507 , Clarksburg WV 26301-9765. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Emergency. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bennett, Debra Dawn can be contacted via phone (304) 624-4064.

Contact Information

Primary practice address
Rr 1 Box 507 Clarksburg WV 26301-9765
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 52372 West Virginia
Nursing Service Providers / Emergency 163WE0003X 52372 West Virginia

Profile Details

NPI number 1194054486
LBN Legal business name Bennett, Debra Dawn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2009
Last updated Dec 15th, 2009 - about 17 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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