National Provider Identifier Database

ANGELA BENNETT
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

ANGELA BENNETT
500 OSBORNE RD NE
SUITE 215
FRIDLEY, MN55432-2765
Phone: 763-236-2707
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ANGELA BENNETT

NPI Number 1083152367
Credentials
Entity Individual
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 1027
  • MN Medicaid: 1134225535
  • MN Medicaid: 1285887653
  • MN Medicaid: 1366440257
  • MN Medicaid: 1396852091
  • MN Medicaid: 1598191389
  • MN Medicaid: 1619938396
  • MN Medicaid: 1942317888
Hospital affiliation n/a

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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