Steven Phillip Bennett, D.C.
Individual provider Active NPI Chiropractor · Solana Beach, CA
NPI 1003087628 · NPPES record last updated Mar 23, 2008
Key facts
- NPI
- 1003087628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 30803 (CA)
- Practice address
- 125 N Acacia Ave
Ste. 103
Solana Beach, CA 92075-1165 - Phone
- (858) 794-2725
- Fax
- (858) 794-2722
- NPI assigned
- Mar 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30803 | CA | Yes |
Addresses
Primary practice location
125 N Acacia Ave
Ste. 103
Solana Beach, CA 92075-1165
Mailing address
125 N Acacia Ave
Solana Beach, CA 92075-1165
Phone (858) 794-2725
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All providers in Solana Beach, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.