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Contact Information

SIDNEY BENNETT, MD
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO63122-3313
 Phone: 314-821-1256
 Fax: 314-821-1239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SIDNEY BENNETT · (Male)

NPI Number 1568578466
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R1G06
  • MO Medicaid 202312625
  • MO Other 050028631 RR MEDICARE
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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