Individual
MR. BRIAN J. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
0000259
CO
2355A2700X
Audiology Assistant
0000259
CO
237600000X
Audiologist-Hearing Aid Fitter
0000259
CO
237700000X
Hearing Instrument Specialist
Primary
0000259
CO
237700000X
Hearing Instrument Specialist
200588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000259
STATE LICENSE
CO
Enumeration date
12/14/2012
Last updated
12/06/2019
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