DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL BENNETT

Active Sole Proprietor

MICHAEL BENNETT is a Peer Specialist healthcare provider located in NEWALLA, Oklahoma. NPI 1295370336 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · NEWALLA, OK

Registration Details

NPI Number
1295370336
Provider Type
Individual
Gender
Male
NPI Issued
Nov 13, 2019 (6.7252533857852 yrs)
Last Updated
Nov 13, 2019
Sole Proprietor
Yes

Practice Information

Address
10624 S CHOCTAW RD
NEWALLA, OK, 748579315
Browse OK providers · Browse ZIP 74857
Phone
9187711797
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in NEWALLA, OK

Name Credential NPI
JUSTIN ANTHONY CONKLING 1831730142
JIMMY COX 1912521774
KEVIN LEE SIMMONS CIO 1730703596
JEFFERIES BLAKE DAVIS 1003430869
TRISTAN DANIEL HUGHES 1033734827
NICHOLAS HUGHES 1699390484
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.