Bennett, Sidney

Bennett, Sidney is an individual health care provider with primary practice located at 2345 Dougherty Ferry Rd , Saint Louis MO 63122-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bennett, Sidney can be contacted via phone (314) 821-1256.

Contact Information

Primary practice address
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313
Phone: (314) 821-1256
Fax: (314) 821-1239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R1G06 Missouri

Profile Details

NPI number 1568578466
LBN Legal business name Bennett, Sidney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 29th, 2008 - about 18 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 1568578466 NPPES
Missouri Other 050028631 RR MEDICARE
Missouri MEDICAID 202312625 RR MEDICARE

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