Bennett, Matthew Ray

Bennett, Matthew Ray is an individual health care provider with primary practice located at 560 S Maple St Suite 200, Waconia MN 55387-1733. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bennett, Matthew Ray can be contacted via phone (952) 442-2163.

Contact Information

Primary practice address
560 S Maple St Suite 200 Waconia MN 55387-1733
Phone: (952) 442-2163
Fax: (952) 442-5903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2193 Minnesota

Profile Details

NPI number 1376955971
LBN Legal business name Bennett, Matthew Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2014
Last updated Jan 9th, 2015 - about 11 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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