Bennett, Matthew Scott

Bennett, Matthew Scott is an individual health care provider with primary practice located at 1701 Burnt Boat Dr Fl 2 , Bismarck ND 58503-0812. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bennett, Matthew Scott can be contacted via phone (701) 323-0924.

Contact Information

Primary practice address
1701 Burnt Boat Dr Fl 2 Bismarck ND 58503-0812
Phone: (701) 323-0924
Fax: (701) 323-0935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 394 North Dakota

Profile Details

NPI number 1316149792
LBN Legal business name Bennett, Matthew Scott
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Oct 25th, 2007 - about 19 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 1316149792 NPPES
North Dakota Other BEN28274 BCBS OF ND
North Dakota MEDICAID 14194 BCBS OF ND

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