Gregor F Bennett in Grand Rapids - Physician Assistant
Gregor F Bennett - NPI 1093828121
Gregor F Bennett is a Physician Assistant in Grand Rapids, Michigan. Gregor F Bennett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregor F Bennett is 1093828121. The last update date is 2007-07-08.
Gregor F Bennett's current location address is 2332 Alpine Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6163916220. The mailing address for Gregor F Bennett is 2332 Alpine Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregor F Bennett |
|---|---|
| Address | 2332 Alpine Ave Nw, Grand Rapids, Michigan |
| Phone Number | 6163916220 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1093828121 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2332 Alpine Ave Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495441955 |
| Phone Number | 6163916220 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601002104 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1598712390 | MI | GROUP NPI |
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What is the unique 10-digit identifier code issued to Gregor F Bennett by the Centers for Medicare & Medicaid Services?
The Gregor F Bennett has been assigned the NPI (National Provider Identifier) 1093828121 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Gregor F Bennett located?
The Gregor F Bennett is located at 2332 Alpine Ave Nw, Grand Rapids, MI 495441955.
What is Gregor F Bennett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gregor F Bennett's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093828121 to Gregor F Bennett?
The Gregor F Bennett received its 1093828121 assignment from the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information pertaining to Gregor F Bennett most recently updated or revised?
The details related to Gregor F Bennett, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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