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Contact Information

MARK BENNETT
2766 W 11 MILE RD STE 2
BERKLEY, MI48072-3033
 Phone: 248-542-2424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for MARK BENNETT · (Male)

NPI Number 1245609817
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2015
Last updated 09/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4703085015
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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