Individual
SEAN H BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
739 NORTH FORK HIGHWAY, GRANT COUNTY HEALTH DEPARTMENT, PETERSBURG, WV 26847-0608
(304) 257-4922
(304) 257-2422
Mailing address
PO BOX 608, PETERSBURG, WV 26847-0608
(304) 257-4922
(304) 257-2422
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/15/2012
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