Bentley, Daniel A

Bentley, Daniel A is an individual health care provider with primary practice located at 1401 E State St , Rockford IL 61104-2315. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bentley, Daniel A can be contacted via phone (815) 391-6102.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (815) 391-6102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104555 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085.004313 Illinois

Profile Details

NPI number 1629177647
LBN Legal business name Bentley, Daniel A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 28th, 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.

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