Bender, David J.

Bender, David J. is an individual health care provider with primary practice located at 296 Gamble Avenue , Maryville TN 37801-4943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bender, David J. can be contacted via phone (865) 984-7567.

Contact Information

Primary practice address
296 Gamble Avenue Maryville TN 37801-4943
Phone: (865) 984-7567
Fax: (865) 984-7567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P-601 Tennessee

Profile Details

NPI number 1891803789
LBN Legal business name Bender, David J.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Dec 10th, 2007 - about 18 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 1891803789 NPPES
Tennessee MEDICAID 3681811

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