Bennett, Robert Russell
Bennett, Robert Russell is an sole proprietor health care provider with primary practice located at 21885 Highway 62 , Shady Cove OR 97539. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bennett, Robert Russell can be contacted via phone (541) 878-3603.Contact Information
Primary practice address
21885 Highway 62
Shady Cove OR 97539
Phone: (541) 878-3603
Fax: (541) 878-3603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2769 | Oregon |
Profile Details
| NPI number | 1285786525 |
|---|---|
| LBN Legal business name | Bennett, Robert Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jan 26th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285786525 | NPPES |
| Oregon | MEDICAID | 043898 |
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