Bent, Thomas C

Bent, Thomas C is an individual health care provider with primary practice located at 362 3Rd St , Laguna Beach CA 92651-2307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bent, Thomas C can be contacted via phone (949) 494-0761.

Contact Information

Primary practice address
362 3Rd St Laguna Beach CA 92651-2307
Fax: (949) 494-3154
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A38147 California

Profile Details

NPI number 1093876583
LBN Legal business name Bent, Thomas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 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 1093876583 NPPES
California MEDICAID A38147

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