Bennett, William Ira

Bennett, William Ira is an sole proprietor health care provider with primary practice located at 49 Hancock St 204, Cambridge MA 02139-3188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bennett, William Ira can be contacted via phone (617) 576-6199.

Contact Information

Primary practice address
49 Hancock St 204 Cambridge MA 02139-3188
Phone: (617) 576-6199
Fax: (617) 628-1617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 73876 Massachusetts

Profile Details

NPI number 1922068600
LBN Legal business name Bennett, William Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2006
Last updated Jul 19th, 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 1922068600 NPPES
Massachusetts MEDICAID 3124151

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