Mr. Jack David Bennett
M.D. | Pediatrics | Male
Mr. Jack David Bennett, M.D. is a Waverly, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Jack David Bennett is
617 S Market St, #2, Waverly, Ohio - 45690-1654. He can be contacted on phone at
740-941-1859 and fax number 740-941-1859.
Mr. Jack David Bennett is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Jack David Bennett is
1518167550 which was assigned by NPPES on 18 Jul, 2007 and it was last updated on 18 Jul, 2007.
Mr. Jack David Bennett license number is
35067134 for Pediatrics (208000000X) in Ohio.
Mr. Jack David Bennett is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Jack David Bennett basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Jack David Bennett |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Mr. Jack David Bennett address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 617 S Market St, #2
Waverly, OH, 45690-1654
United States |
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| Phone Number : | 740-941-1859 |
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| Fax Number : | 740-941-1859 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518167550 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 18 Jul, 2007 |
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| Last Updated On : | 18 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack David Bennett are as mentioned. Primary taxonomy code for Mr. Jack David Bennett, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 35067134 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Jack David Bennett such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0986429 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 617 S Market St, #2
Waverly, OH, 45690-1654
United States |
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| Phone Number : | 740-941-1859 |
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| Fax Number : | 740-941-1859 |
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Business Location:
Patients can refer following map for directions to
Mr. Jack David Bennett practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.