Bennett, Robert Joseph

Bennett, Robert Joseph is an individual health care provider with primary practice located at 602 Yale Pl , Canon City CO 81212-4611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bennett, Robert Joseph can be contacted via phone (719) 275-2301.

Contact Information

Primary practice address
602 Yale Pl Canon City CO 81212-4611
Phone: (719) 275-2301
Fax: (719) 275-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13841 Colorado

Profile Details

NPI number 1053479402
LBN Legal business name Bennett, Robert Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Apr 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053479402 NPPES
Colorado MEDICAID 01138411

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