| Specialty | Taxonomy Code | |
|---|---|---|
| * | Family | 363LF0000X |
* Indicates primary specialty
| NPI Number | 1386637155 |
| Credentials | NP (Nurse Practitioner) |
| Entity | Individual |
| Enumeration date | 08/26/2005 |
| Last updated | 10/17/2019 - About 7 years ago |
| Sole proprietor1 | No |
| Identifiers |
|
| 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.
There are currently no reviews for JUSTIN M BENNETT, NP