NPI 1730191131 · live from the CMS NPI Registry
Douglas M. Bennett, D.O.
Emergency Medicine in Charleston, WV. National Provider Identifier 1730191131, active.
NPI record
| NPI | 1730191131 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 501 Morris St, Charleston, WV 25301 |
| Practice phone | 304-388-5432 |
| Mailing address | 4750 Hempstead Station Dr, Kettering, OH 45429 |
| Enumerated | August 13, 2006 |
| Last updated | April 16, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 1791 (WV) |
| Internal Medicine | 207R00000X | 1791 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.