Albert Bennette St. John
Gynecologist
21075 Rabren Rd
Andalusia
, Alabama 36421-8115
Albert Bennette St. John
Gynecologist
21075 Rabren Rd
Andalusia
, Alabama 36421-8115
(334) 222-9646
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Albert Bennette St. John
- 21075 Rabren Rd
- Andalusia, AL
- Zip : 36421-8115
- Fax : (334) 222-9646
- Phone : (334) 222-9646
Second Address
- Albert Bennette St. John
- 21075 Rabren Rd
- Andalusia, AL
- Zip : 36421-8115
- Fax : (334) 222-9646
- Phone : (334) 222-9646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 11531 | AL |
National Provider Identifier
| NPI | 1063699965 |
|---|---|
| Provider Name | Albert Bennette St. John |
| First Address | Andalusia, AL 36421-8115 |
| Second Address | Andalusia, AL 36421-8115 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/01/2008 |
| Last Update Date | 09/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000031289 | (05) | AL |
| 11531 | STATE LICENSE/CONTROLLED (01) | AL |
| 510-31289ST | BLUE CROSS (01) | AL |
| BS2123862 | DEA (01) | AL |
| C75031 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.