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Contact Information

BENNETT RICHTER, MS, LAT, ATC
914 COUNTY ROAD 1500 E
CARMI, IL62821-5610
 Phone: 618-616-0228
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BENNETT RICHTER · (Male)

NPI # 1487334249
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 07/18/2023
Last updated 07/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 096.005655
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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