Bennett, Michael Martin

Bennett, Michael Martin is an sole proprietor health care provider with primary practice located at 75-377 Hualalai Rd , Kailua Kona HI 96740-9724. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bennett, Michael Martin can be contacted via phone (808) 329-0774.

Contact Information

Primary practice address
75-377 Hualalai Rd Kailua Kona HI 96740-9724
Phone: (808) 329-0774
Fax: (808) 329-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 667 Montana

Profile Details

NPI number 1467788364
LBN Legal business name Bennett, Michael Martin
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2009
Last updated Oct 27th, 2009 - about 17 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 1467788364 NPPES
Montana Other 667 LAC

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