St. John, Albert Bennette
St. John, Albert Bennette is an sole proprietor health care provider with primary practice located at 21075 Rabren Rd , Andalusia AL 36421-8115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. St. John, Albert Bennette can be contacted via phone (334) 222-9646.Contact Information
Primary practice address
21075 Rabren Rd
Andalusia AL 36421-8115
Phone: (334) 222-9646
Fax: (334) 222-9646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 11531 | Alabama |
Profile Details
| NPI number | 1063699965 |
|---|---|
| LBN Legal business name | St. John, Albert Bennette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1063699965 | NPPES |
| Alabama | Other | 510-31289ST | BLUE CROSS |
| Alabama | MEDICAID | 000031289 | BLUE CROSS |
| Alabama | Other | 11531 | BLUE CROSS |
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