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Individual

MR. BRIAN J. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BC-HIS

Contact information

Practice address
2731 COMMERCIAL WAY, MONTROSE, CO 81401
(970) 989-9909
(970) 615-7458
Mailing address
2731 COMMERCIAL WAY, MONTROSE, CO 81401
(970) 989-9909
(970) 615-7458

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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