Teal, Bennett Haskin
Teal, Bennett Haskin is an individual health care provider with primary practice located at 1301 Creel St , Conway SC 29527-5018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Teal, Bennett Haskin can be contacted via phone (843) 248-4414.Contact Information
Primary practice address
1301 Creel St
Conway SC 29527-5018
Phone: (843) 248-4414
Fax: (843) 248-3781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 84208 | South Carolina |
Profile Details
| NPI number | 1427677053 |
|---|---|
| LBN Legal business name | Teal, Bennett Haskin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2020 |
| Last updated | May 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427677053 | NPPES |
| South Carolina | MEDICAID | 842084 |
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