Penny Main-Bennett in Anoka - Addiction (substance Use Disorder)
Penny Main-Bennett - NPI 1780710442
Penny Main-Bennett is a Addiction (substance Use Disorder) in Anoka, Minnesota. Penny Main-Bennett practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Penny Main-Bennett is 1780710442. The last update date is 2007-07-08.
Penny Main-Bennett's current location address is 4003 Sunshine Dr, Anoka, Minnesota. You can contact this provider via phone number 7634138838 and fax number 7634138878. The mailing address for Penny Main-Bennett is 4003 Sunshine Dr, Anoka, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Penny Main-Bennett |
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Address | 4003 Sunshine Dr, Anoka, Minnesota |
Phone Number | 7634138838 |
Fax Number | 7634138878 |
Sole Proprietor | Y |
Credentials | LADC |
NPI Number Detail
NPI Number | 1780710442 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4003 Sunshine Dr |
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City | Anoka |
State | Minnesota (MN) |
Post Code | 553038606 |
Phone Number | 7634138838 |
Fax Number | 7634138878 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | 300832 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5040353 | MN | UBH | |
6C74GR | MN | BCBS OF MN | |
1030158 | MN | PREFERRED ONE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Penny Main-Bennett by the Centers for Medicare & Medicaid Services?
The Penny Main-Bennett has been issued the NPI (National Provider Identifier) 1780710442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Penny Main-Bennett located?
The Penny Main-Bennett is located at 4003 Sunshine Dr, Anoka, MN 553038606.
What is Penny Main-Bennett's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Penny Main-Bennett is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.
When did Penny Main-Bennett receive its 1780710442 assignment?
The Penny Main-Bennett was assigned its 1780710442 on 2007-02-26, which is the date when this unique identifier was issued to the organization.
When was the information related to Penny Main-Bennett most recently updated or refreshed?
The details pertaining to the Penny Main-Bennett, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.