Justin M Bennett is a Family in Merryville, Louisiana. Justin M Bennett practices all healthcare services and medical treatments related to Family. The NPI Number for Justin M Bennett is 1386637155. The last update date is 2019-10-17.
Justin M Bennett's current location address is 567 Walker St, Merryville, Louisiana. You can contact this provider via phone number 3378251728 and fax number 3378251229. The mailing address for Justin M Bennett is 567 Walker St, Merryville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Justin M Bennett |
|---|---|
| Address | 567 Walker St, Merryville, Louisiana |
| Phone Number | 3378251728 |
| Fax Number | 3378251229 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1386637155 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 567 Walker St |
|---|---|
| City | Merryville |
| State | Louisiana (LA) |
| Post Code | 706533040 |
| Phone Number | 3378251728 |
| Fax Number | 3378251229 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04254 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477095 | LA | -- |
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What is the unique 10-digit identifier code issued to Justin M Bennett by the Centers for Medicare & Medicaid Services?
The Justin M Bennett has been assigned the NPI (National Provider Identifier) 1386637155 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Justin M Bennett is physically located?
The Justin M Bennett is situated at the following address: 567 Walker St, Merryville, LA 706533040.
What is the Justin M Bennett's area of specialization and corresponding taxonomy classification?
The Justin M Bennett's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did Justin M Bennett receive its 1386637155 assignment from the Centers for Medicare & Medicaid Services?
The Justin M Bennett was assigned its 1386637155 on 2005-08-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Justin M Bennett's details last updated?
The information pertaining to the Justin M Bennett, including its address, specialty, and other details, was most recently updated on 2019-10-17.