Provider Demographics
NPI:1093753618
Name:R & B BENNETT ENTERPRISES, INC
Entity Type:Organization
Organization Name:R & B BENNETT ENTERPRISES, INC
Other - Org Name:TRANSPORTATION SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-833-2301
Mailing Address - Street 1:4202 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-1458
Mailing Address - Country:US
Mailing Address - Phone:814-833-2301
Mailing Address - Fax:814-833-9230
Practice Address - Street 1:4202 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-1458
Practice Address - Country:US
Practice Address - Phone:814-833-2301
Practice Address - Fax:814-833-9230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0C005782L261QX0100X
347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No347E00000XTransportation ServicesTransportation Broker