Bennett, Matthew A
Bennett, Matthew A is an sole proprietor health care provider with primary practice located at 624 River Rd Suite#1, North Tonawanda NY 14120-6563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bennett, Matthew A can be contacted via phone (716) 332-2300.Contact Information
Primary practice address
624 River Rd Suite#1
North Tonawanda NY 14120-6563
Phone: (716) 332-2300
Fax: (716) 332-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 250570 | New York |
Profile Details
| NPI number | 1215189378 |
|---|---|
| LBN Legal business name | Bennett, Matthew A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2008 |
| Last updated | Feb 1st, 2011 - about 15 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 | 1215189378 | NPPES |
| New York | Other | 250570 | LICENSE |
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