Bennett, Donald Walter
Bennett, Donald Walter is an individual health care provider with primary practice located at 1935 Bluegrass Ave Suite 200, Louisville KY 40215-1179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bennett, Donald Walter can be contacted via phone (502) 895-0040.Contact Information
Primary practice address
1935 Bluegrass Ave Suite 200
Louisville KY 40215-1179
Phone: (502) 895-0040
Fax: (502) 361-4488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 23368 | Kentucky |
Profile Details
| NPI number | 1013991165 |
|---|---|
| LBN Legal business name | Bennett, Donald Walter |
| Credentials | OD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Sep 23rd, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013991165 | NPPES |
| Kentucky | MEDICAID | 64233687 | |
| Kentucky | MEDICAID | 200101170 |
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