NPI 1144455023

Sean H Bennett, IDMT

Practitioner Independent Duty Medical Technicians Petersburg, WV

Practice location

Address: 739 North Fork Highway Grant County Health Department, Petersburg, WV 26847-0608
Phone: (304) 257-4922
Fax: (304) 257-2422
Mailing address: PO Box 608, Petersburg, WV 26847-0608

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1144455023
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2009
Record last updated: 15 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.