Bennison, William M
Bennison, William M is an sole proprietor health care provider with primary practice located at 1 High Path Hope House, Port Jefferson NY 11777-1276. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bennison, William M can be contacted via phone (631) 928-9112.Contact Information
Primary practice address
1 High Path Hope House
Port Jefferson NY 11777-1276
Phone: (631) 928-9112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006877 | New York |
Profile Details
| NPI number | 1962489153 |
|---|---|
| LBN Legal business name | Bennison, William M |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 19th, 2010 - about 16 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 | 1962489153 | NPPES |
| New York | MEDICAID | 00696231 |
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