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Contact Information

JEFFREY G BENNION, MD
2245 N 400 E
STE 301
NORTH LOGAN, UT84341-1892
 Phone: 435-753-7880
 Fax: 435-753-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JEFFREY G BENNION · (Male)

NPI Number 1396731469
Status Active
Credentials MD
Entity Individual
Enumeration date 09/23/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 274201-1205
  • ID Other 7054 IDAHO BOARD OF PHARMACY
  • ID Other M-6924 IDAHO STATE LICENSE
  • UT Other 274201-9915 UTAH CONTROLLED SUBSTANCE
Hospital affiliation(s)
  • BEAR LAKE MEMORIAL HOSPITAL - (Critical Access)
    164 SOUTH FIFTH STREET
    MONTPELIER, ID 83254
  • CACHE VALLEY SPECIALITY HOSPITAL - (Acute Care)
    2380 NORTH 400 EAST
    NORTH LOGAN, UT 84341
  • LOGAN REGIONAL HOSPITAL - (Acute Care)
    500 EAST 1400 NORTH
    LOGAN, UT 84341
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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