Bennett, Joshua

Bennett, Joshua is an individual health care provider with primary practice located at 21230 Dequindre Rd , Warren MI 48091-2279. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Bennett, Joshua can be contacted via phone (586) 880-2447.

Contact Information

Primary practice address
21230 Dequindre Rd Warren MI 48091-2279
Phone: (586) 880-2447
Fax: (586) 427-4921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86053205 Michigan

Profile Details

NPI number 1588180509
LBN Legal business name Bennett, Joshua
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated Aug 22nd, 2017 - 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 1588180509 NPPES
Michigan MEDICAID 404554179

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