Individual
DR. CHRISTOPHER JOHN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 ERIE CHURCH RD, BEDFORD, IN 47421-7590
(317) 489-1695
Mailing address
116 ERIE CHURCH RD, BEDFORD, IN 47421-7590
(317) 489-1695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01068887A
IN
207L00000X
Anesthesiology Physician
11013190A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201007020A
—
IN
Enumeration date
07/14/2008
Last updated
05/01/2013
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