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Contact Information

JESSE BENNETT
1008 E 38TH ST
AUSTIN, TX78705-1813
 Phone: 413-512-9184
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for JESSE BENNETT · (Female)

NPI # 1346662590
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2014
Last updated 01/07/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 114460
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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