person
Dr. Thomas Omar Bennett, MD
Specialist in Merrillville, Indiana
NPI 1427051911

Thomas Omar Bennett is a Specialist based in Merrillville, IN. Thomas Omar Bennett practices in Merrillville, IN and has the professional credentials of MD. The NPI Number for Thomas Omar Bennett is 1427051911 and holds a License No. 01030607A (Indiana).

The current practice location address for Thomas Omar Bennett is 8679 Connecticut St, Merrillville, IN and can be reached out via phone at 219-769-9022 and via fax at 219-769-1918.

Location: 8679 Connecticut St, Merrillville, IN, 46410-6383
person
Provider Profile Details
NPI Number
1427051911
Provider Name
Thomas Omar Bennett
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8679 Connecticut St, Merrillville, IN, 46410-6383
Phone Number
219-769-9022
Fax Number
219-769-1918
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100167860 05 IN
institution
Provider Business Practice Location Address Details
Address
8679 Connecticut St
City
State
Zip
46410-6383
Phone Number
219-769-9022
Fax Number
219-769-1918
person
Provider Business Mailing Address Details
Address
8679 Connecticut St
City
State
Zip
46410-6383
Phone Number
219-769-9022
Fax Number
219-769-1918
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
01030607A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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