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NPI Code Detail

MEDICARE: STEVEN FREDERICK BENNETT DC

MEDICARE: STEVEN FREDERICK BENNETT DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor992AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3350052757OTHERARRAILROAD MEDICARE ID #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21801872304OTHERARGROUP NPI

General Provider Information

NPI Number : 1407832801
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN FREDERICK BENNETT DC
Provider Business Mailing Address
First Line : 636 W BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5526
Country : US
Telephone Number : 501-374-1153
Fax Number : 501-374-6213
Provider Business Practice Location Address
First Line : 636 W BROADWAY ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-5526
Country : US
Telephone Number : 501-374-1153
Fax Number : 501-374-6213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 08/22/2011

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Directions to “ STEVEN FREDERICK BENNETT DC” Practice Location

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