Bennett, Mark Richard

Bennett, Mark Richard is an individual health care provider with primary practice located at 709 W Main St , Manchester IA 52057-1526. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bennett, Mark Richard can be contacted via phone (563) 822-1435.

Contact Information

Primary practice address
709 W Main St Manchester IA 52057-1526
Phone: (563) 822-1435
Fax: (563) 822-1436
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X D131948 Iowa

Profile Details

NPI number 1871955435
LBN Legal business name Bennett, Mark Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2016
Last updated Feb 19th, 2019 - about 6 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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