Bennett, John A

Bennett, John A is an individual health care provider with primary practice located at 8208 Louisiana Blvd Ne Ste C, Albuquerque NM 87113-1757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bennett, John A can be contacted via phone (505) 858-1222.

Contact Information

Primary practice address
8208 Louisiana Blvd Ne Ste C Albuquerque NM 87113-1757
Phone: (505) 858-1222
Fax: (505) 858-1224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 70-104 New Mexico

Profile Details

NPI number 1427133065
LBN Legal business name Bennett, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated May 20th, 2016 - about 9 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 1427133065 NPPES
New Mexico MEDICAID 02980

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