Bendorf, Eric Matthew

Bendorf, Eric Matthew is an individual health care provider with primary practice located at 201 Ridge St Suite 214, Council Bluffs IA 51503-4643. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bendorf, Eric Matthew can be contacted via phone (712) 396-4320.

Contact Information

Primary practice address
201 Ridge St Suite 214 Council Bluffs IA 51503-4643
Phone: (712) 396-4320
Fax: (712) 396-4328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 32022 Iowa

Profile Details

NPI number 1558447169
LBN Legal business name Bendorf, Eric Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 1st, 2017 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558447169 NPPES
Iowa MEDICAID 160390
Iowa MEDICAID 10026480113
Iowa MEDICAID 1558447169

Popular Providers