Individual
ERIC J BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 238-7000
(812) 238-4508
Mailing address
4519 PARK LANE CT, TERRE HAUTE, IN 47803-2051
(812) 877-3718
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027728A
IN
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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