Mcallister, Bennett William

Mcallister, Bennett William is an sole proprietor health care provider with primary practice located at 4161 Tamiami Trl Ste 304D , Port Charlotte FL 33952-9254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcallister, Bennett William can be contacted via phone (941) 625-5895.

Contact Information

Primary practice address
4161 Tamiami Trl Ste 304D Port Charlotte FL 33952-9254
Phone: (941) 625-5895
Fax: (941) 625-1047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME104685 Florida

Profile Details

NPI number 1275704157
LBN Legal business name Mcallister, Bennett William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2008
Last updated Feb 26th, 2024 - about 2 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 1275704157 NPPES
Florida Other CH842Y MEDICARE PTAN
Florida MEDICAID 017596500 MEDICARE PTAN
Florida MEDICAID 114514100 MEDICARE PTAN

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