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BENNETT CHIROPRACTIC CLINIC INC NPI 1346351244


NPI Information

NPI: 1346351244
Provider Name: BENNETT CHIROPRACTIC CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 10D2062802

Address:
3945 SOUTH NOVA ROAD
PORT ORANGE, FL
ZIP 32127
Phone: (386) 767-1100
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BENNETT CHIROPRACTIC CLINIC INC is a chiropractor in Port Orange, FL. The provider is 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 interrelationship with other body systems. BENNETT CHIROPRACTIC CLINIC INC NPI is 1346351244. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3945 SOUTH NOVA ROAD
PORT ORANGE, FL
ZIP 32127
Phone: (386) 767-1100
Fax: (386) 767-1103

The provider's authorized official is Carl Henry Bennett .
The authorized official title is OWNER PRESIDENTPresident and has the following contact phone number (386) 767-1100.

The CLIA number assigned to this NPI record is 10D2062802 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH5081FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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