Provider Demographics
NPI:1770848624
Name:BENNETT, MARGARET E (LM)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:E
Last Name:BENNETT
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BALFOUR CT
Mailing Address - Street 2:
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-4608
Mailing Address - Country:US
Mailing Address - Phone:831-394-4649
Mailing Address - Fax:831-394-4649
Practice Address - Street 1:3 BALFOUR CT
Practice Address - Street 2:
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-4608
Practice Address - Country:US
Practice Address - Phone:831-394-4649
Practice Address - Fax:831-394-4649
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM20176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife