Bentley, Bradley J

Bentley, Bradley J is an individual health care provider with primary practice located at 170 North 1100 East , American Fork UT 84003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Bentley, Bradley J can be contacted via phone (801) 714-6570.

Contact Information

Primary practice address
170 North 1100 East American Fork UT 84003
Phone: (801) 714-6570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 274483 Utah

Profile Details

NPI number 1952354789
LBN Legal business name Bentley, Bradley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 5th, 2008 - about 16 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 1952354789 NPPES
Utah MEDICAID D0551
Utah Other 107006388102
Utah Other 87052006001001
Utah Other 870636000BE1
Utah Other 264936

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