Bendor, David Benjamin
Bendor, David Benjamin is an individual health care provider with primary practice located at 200 Retreat Avenue Hartford Hospital Psychiatry Dept., Hartford CT 06106-3310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bendor, David Benjamin can be contacted via phone (860) 545-7665.Contact Information
Primary practice address
200 Retreat Avenue Hartford Hospital Psychiatry Dept.
Hartford CT 06106-3310
Phone: (860) 545-7665
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002973 | Connecticut |
Profile Details
NPI number | 1164587812 |
---|---|
LBN Legal business name | Bendor, David Benjamin |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 23rd, 2006 |
Last updated | Feb 7th, 2013 - about 11 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 | 1164587812 | NPPES |
Connecticut | MEDICAID | 008029738 |
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