Individual
MS. JANET BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 TROY RD, SPRINGFIELD, OH 45504-4335
(937) 342-8800
(937) 342-8805
Mailing address
3435 TROY RD, SPRINGFIELD, OH 45504-4335
(937) 342-8800
(937) 342-8805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD 1912
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487784948
NPI
OH
05
—
2594189
—
OH
Enumeration date
02/06/2008
Last updated
02/06/2008
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