Bender, Jan

Bender, Jan is an individual health care provider with primary practice located at 6449 38Th Ave N Suite G4, St Petersburg FL 33710-1655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bender, Jan can be contacted via phone (727) 347-2557.

Contact Information

Primary practice address
6449 38Th Ave N Suite G4 St Petersburg FL 33710-1655
Phone: (727) 347-2557
Fax: (727) 345-8972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0055667 Florida

Profile Details

NPI number 1255304259
LBN Legal business name Bender, Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 1st, 2015 - about 10 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 1255304259 NPPES
Florida MEDICAID 056530000

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