National Provider Identifier Database

LORI J BENNETT, MS FNP – NPI #1316056005
Family


Contact Information

LORI J BENNETT, MS FNP
2364 BISHOP AVE
ANN ARBOR, MI48105-2248
Phone: 734-647-1636
Fax: 734-763-9634
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for LORI J BENNETT

NPI Number 1316056005
Credentials MS FNP
Entity Individual
Enumeration date 08/29/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 47041134489
  • MI Medicaid: 4110360
  • MI Other: 5008664290 BCBS
Hospital affiliation n/a

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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