Bentley, Jack

Bentley, Jack is an individual health care provider with primary practice located at 67 E Midtown Park , Mobile AL 36606-4141. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bentley, Jack can be contacted via phone (251) 476-1279.

Contact Information

Primary practice address
67 E Midtown Park Mobile AL 36606-4141
Phone: (251) 476-1279
Fax: (251) 476-2882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PTH3594 Alabama

Profile Details

NPI number 1124110739
LBN Legal business name Bentley, Jack
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 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 1124110739 NPPES
Alabama Other PTH3594 PHYSICAL THERAPY LICENSE

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