Bentley, Felicia R

Bentley, Felicia R is an sole proprietor health care provider with primary practice located at 247 Dunn Rd , Florissant MO 63031-7928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Bentley, Felicia R can be contacted via phone (314) 438-0700.

Contact Information

Primary practice address
247 Dunn Rd Florissant MO 63031-7928
Fax: (314) 438-0737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036107319 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2002015961 Missouri

Profile Details

NPI number 1154393437
LBN Legal business name Bentley, Felicia R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2006
Last updated Aug 9th, 2023 - about 2 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 1154393437 NPPES
Missouri MEDICAID 205933203

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