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Contact Information

CASEY BENNETT
5717 OAKLAND DR
PORTAGE, MI49024-1116
 Phone: 269-459-6212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CASEY BENNETT · (Female)

NPI # 1508269515
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2014
Last updated 10/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501016762
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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