Bennett, John

Bennett, John is an individual health care provider with primary practice located at 8451 Point Douglas Road E , Cottage Grove MN 55016. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bennett, John can be contacted via phone (651) 458-4116.

Contact Information

Primary practice address
8451 Point Douglas Road E Cottage Grove MN 55016
Phone: (651) 458-4116
Fax: (651) 458-5632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2790 Minnesota

Profile Details

NPI number 1215955513
LBN Legal business name Bennett, John
Credentials M.A., LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 19 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 1215955513 NPPES
Minnesota Other 570033 P1
Minnesota Other 57129BE P1
Minnesota Other 17574 P1
Minnesota Other 62-20082 P1
Minnesota Other 106225 P1
Minnesota Other 252287 P1

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