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Contact Information

JOLENE L BENNETT, PT
3540 FAIRLANES AVE SW
GRANDVILLE, MI49418-1536
 Phone: 616-531-0464
 Fax: 616-531-3651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for JOLENE L BENNETT · (Female)

NPI # 1619551165
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/11/2021
Last updated 05/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501003994
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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