Bennett, Michael Alan

Bennett, Michael Alan is an individual health care provider with primary practice located at 602 E Santa Clara St , San Jose CA 95112-1908. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Bennett, Michael Alan can be contacted via phone (408) 445-3400.

Contact Information

Primary practice address
602 E Santa Clara St San Jose CA 95112-1908
Phone: (408) 445-3400
Fax: (408) 988-8043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1386982007
LBN Legal business name Bennett, Michael Alan
Credentials CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2013
Last updated Jan 31st, 2013 - about 13 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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