Bennett, Jolene Larae

Bennett, Jolene Larae is an individual health care provider with primary practice located at 3540 Fairlanes Ave Sw , Grandville MI 49418-1536. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Bennett, Jolene Larae can be contacted via phone (616) 531-0464.

Contact Information

Primary practice address
3540 Fairlanes Ave Sw Grandville MI 49418-1536
Phone: (616) 531-0464
Fax: (616) 531-3651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501003994 Michigan

Profile Details

NPI number 1619551165
LBN Legal business name Bennett, Jolene Larae
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2021
Last updated May 11th, 2021 - about 4 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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