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DANIEL BENNETT MD PA NPI 1619381407


NPI Information

NPI: 1619381407
Provider Name: DANIEL BENNETT MD PA

Doing Business As: JONESBORO CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1811 EXECUTIVE SQ
JONESBORO, AR
ZIP 72401
Phone: (870) 932-6883
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DANIEL BENNETT MD PA is a primary care clinic center in Jonesboro, AR. DANIEL BENNETT MD PA NPI is 1619381407. The provider is registered as an organization entity type.
The provider Is Doing Business As Jonesboro Clinic.

The provider's business location address is:

1811 EXECUTIVE SQ
JONESBORO, AR
ZIP 72401-086
Phone: (870) 932-6883
Fax: (870) 972-0719

The provider's authorized official is Daniel Bruce Bennett .
The authorized official title is Director and has the following contact phone number (870) 932-6884.

The enumeration date for this NPI number is 6/19/2014 and was last updated on 6/19/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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: 4/28/2024

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