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
Phone: (765) 660-7800
Fax: (765) 662-4470
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285835652 | NPPES |
Indiana | Other | 000000620997 | ANTHEM |
Indiana | MEDICAID | 200948330 | ANTHEM |
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