Dr. Jason B. Bennett
Female Pelvic Medicine and Reconstructive Surgeon
6745 Fulton St E Ste 101
Ada
, Michigan 49301-8107
Dr. Jason B. Bennett
Female Pelvic Medicine and Reconstructive Surgeon
6745 Fulton St E Ste 101
Ada
, Michigan 49301-8107
(231) 727-4571
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jason B. Bennett
- Po Box 1847
- Muskegon, MI
- Zip : 49443-1847
- Fax : (231) 727-4571
- Phone : (231) 727-5211
Second Address
- Dr. Jason B. Bennett
- 6745 Fulton St E Ste 101
- Ada, MI
- Zip : 49301-8107
- Fax : (231) 724-7812
- Phone : (616) 685-2150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 4301076635 | MI |
National Provider Identifier
| NPI | 1295757631 |
|---|---|
| Provider Name | Dr. Jason B. Bennett |
| First Address | Muskegon, MI 49443-1847 |
| Second Address | Ada, MI 49301-8107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/07/2006 |
| Last Update Date | 26/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4619667 | (05) | MI |
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.