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Contact Information

IVAN R BENNETT, PA
7798 DISCOVERY DR.
WEST CHESTER, OH45069-6542
 Phone: 513-939-2263
 Fax: 513-874-4579
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for IVAN R BENNETT · (Male)

NPI Number 1184658056
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/10/2006
Last updated 02/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50-002463
  • OH License # 50002463
  • KY Medicaid 7100001230
  • OH Other BEPA27101 MEDICARE CGS
Hospital affiliation(s)
  • WEST CHESTER MEDICAL CENTER - (Acute Care)
    7700 UNIVERSITY DRIVE
    WEST CHESTER, OH 45069
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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