Bennett, Jon Michael

Bennett, Jon Michael is an individual health care provider with primary practice located at 7900 N Kings Hwy , Myrtle Beach SC 29572-3055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bennett, Jon Michael can be contacted via phone (843) 449-3381.

Contact Information

Primary practice address
7900 N Kings Hwy Myrtle Beach SC 29572-3055
Phone: (843) 449-3381
Fax: (843) 449-9721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37755 South Carolina

Profile Details

NPI number 1366427841
LBN Legal business name Bennett, Jon Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Oct 10th, 2023 - about 3 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 1366427841 NPPES
California MEDICAID 00AX74530

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