Provider Demographics
NPI:1477666345
Name:BENNETTS, JOHN FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANK
Last Name:BENNETTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-1769
Mailing Address - Country:US
Mailing Address - Phone:831-373-7300
Mailing Address - Fax:831-373-7310
Practice Address - Street 1:60 GARDEN CT STE 320
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5362
Practice Address - Country:US
Practice Address - Phone:831-373-7300
Practice Address - Fax:831-373-7310
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2014-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA31528207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABH140AMedicare PIN