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Contact Information

WILLIAM R BENNETT, MD
1000 VALE TERRACE DR
VISTA, CA92084-5218
 Phone: 760-631-5000
 Fax: 760-414-3702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for WILLIAM R BENNETT · (Male)

NPI # 1568542462
Status Active
Credentials MD
Entity Individual
Enumeration date 10/16/2006
Last updated 03/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C55097
  • WA Medicaid 1568542462
  • Other 3129 INTERNAL ID-MOTOR VEHICLE ID
  • WA Other 0175022 L&I
  • WA Other 260038698 RAIL ROAD 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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