Bennett Clinic LLC
Organization Active NPI Customized Equipment (DME) · Prescott Valley, AZ
NPI 1316236995 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1316236995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Customized Equipment (DME) 332BC3200X
- License
- 20636829-L (AZ)
- Legal business name
- BENNETT CLINIC LLC
- Practice address
- 7876 E Florentine Rd
Prescott Valley, AZ 86314-2216 - Phone
- (928) 772-7200
- Fax
- (928) 772-7779
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Wayne A Bennett, D.C.
- Title
- Owner/Manager
- Phone
- (928) 772-7200
Practitioners 5
-
Wayne A Bennett, D.C.,D.A.B.C.O.
-
Michael Nash, D.C.
-
Sean Moran, D.C., M.S.
National Provider Directory
Locations
3191 Stillwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 212-1479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | 20636829-L | AZ | Yes |
Addresses
Primary practice location
7876 E Florentine Rd
Prescott Valley, AZ 86314-2216
Mailing address
7876 E Florentine Rd
Prescott Valley, AZ 86314-2216
Phone (928) 772-7200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z139537 | Other | AZ | MEDICARE PTAN |
Other providers in Prescott Valley, AZ
- Kathy J Beeson
- Beginnings Birth and Wellness Center
- Daniel Bejar
- Patricia Louise Benard-Walls
- Bennett Clinic LLC
- Reneallia Bennett
- Maridol Macias Bercilla
- Donna Louise Bergh
- Matthew Bergman
- Alan Sheldon Berman
All providers in Prescott Valley, AZ · Customized Equipment (DME) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2011. 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.