Bennett, Larry D
Bennett, Larry D is an sole proprietor health care provider with primary practice located at 130 N Villa St , Porterville CA 93257-3218. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bennett, Larry D can be contacted via phone (559) 784-9355.Contact Information
Primary practice address
130 N Villa St
Porterville CA 93257-3218
Phone: (559) 784-9355
Fax: (559) 784-9359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC0291190 | California |
Profile Details
| NPI number | 1912084591 |
|---|---|
| LBN Legal business name | Bennett, Larry D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Oct 1st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912084591 | NPPES |
| California | MEDICAID | DC0291190 |
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