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Contact Information

KAREN A BENNETT
10170 ILLINOIS RD
FORT WAYNE, IN46804-5774
 Phone: 260-436-6021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for KAREN A BENNETT · (Female)

NPI # 1558084053
Status Active
Credentials
Entity Individual
Enumeration date 09/21/2022
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 26027992A
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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