Bennett, Marcy Lynn

Bennett, Marcy Lynn is an sole proprietor health care provider with primary practice located at 9961 Winghaven Blvd , O Fallon MO 63368-3623. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bennett, Marcy Lynn can be contacted via phone (636) 265-2566.

Contact Information

Primary practice address
9961 Winghaven Blvd O Fallon MO 63368-3623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2000144756 Missouri

Profile Details

NPI number 1144368713
LBN Legal business name Bennett, Marcy Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Mar 31st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144368713 NPPES
Missouri Other 139154 BLUE CROSS BLUE SHIELD
Missouri Other 38309 BLUE CROSS BLUE SHIELD
Missouri Other 4401175 BLUE CROSS BLUE SHIELD
Missouri Other 432179 BLUE CROSS BLUE SHIELD

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