Trudy L Bennett in Little Rock - Chiropractor

Trudy L Bennett - NPI 1215962311

Trudy L Bennett is a Chiropractor in Little Rock, Arkansas. Trudy L Bennett practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Trudy L Bennett is 1215962311. The last update date is 2013-08-05.

Trudy L Bennett's current location address is 300 S Rodney Parham Rd, Little Rock, Arkansas. You can contact this provider via phone number 5016634663 and fax number 5016637689. The mailing address for Trudy L Bennett is 300 S Rodney Parham Rd, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Trudy L Bennett
Address 300 S Rodney Parham Rd, Little Rock, Arkansas
Phone Number 5016634663
Fax Number 5016637689
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1215962311
Provider Enumeration Date 2006-07-11
Last Updated Date 2013-08-05

Provider Mailing Address Detail

Address 300 S Rodney Parham Rd
City Little Rock
State Arkansas (AR)
Post Code 722054774
Phone Number 5016634663
Fax Number 5016637689

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 1435
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
136565718 AR --
5T449 AR BCBS PROVIDER ID#
7483095 AR AETNA
19689000000 AR QUAL CHOICE
5C748 AR BCBS GROUP ID#
P00613713 AR RR MEDICARE-PALMETTO

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FAQs about Trudy L Bennett

What is the unique identifier code issued to Trudy L Bennett by the Centers for Medicare & Medicaid Services?

The Trudy L Bennett has been assigned the NPI (National Provider Identifier) 1215962311. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Trudy L Bennett?

The Trudy L Bennett is situated at 300 S Rodney Parham Rd, in the city of Little Rock, state of AR, with the zip code 722054774.

What is Trudy L Bennett's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Trudy L Bennett is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215962311 to Trudy L Bennett?

The Centers for Medicare & Medicaid Services assigned the 1215962311 to Trudy L Bennett on 2006-07-11.

When was the information pertaining to Trudy L Bennett most recently updated or revised?

The details related to Trudy L Bennett, including its address, specialty, and other relevant information, were last updated or revised on 2013-08-05.

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