Search › West Virginia › 363LF0000X
Justin Bennett
NPI 1174293138 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4314 Williamstown Pike
Williamstown, WV 26187 - Phone
- (304) 482-6029
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163WH0200X
207Q00000X - Licence states on file
- OH, WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia