Bendaly, Edmond A.

Bendaly, Edmond A. is an individual health care provider with primary practice located at 831 Theatre Drive , Marion IN 46952-1701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bendaly, Edmond A. can be contacted via phone (765) 660-7800.

Contact Information

Primary practice address
831 Theatre Drive Marion IN 46952-1701
Fax: (765) 662-4470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X P51816 New York

Profile Details

NPI number 1285835652
LBN Legal business name Bendaly, Edmond A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Oct 20th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285835652 NPPES
Indiana Other 000000620997 ANTHEM
Indiana MEDICAID 200948330 ANTHEM

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