Bentley, Jayne Ann
Bentley, Jayne Ann is an individual health care provider with primary practice located at 1710 W 3Rd St Ste 100 , Elk City OK 73644-5160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bentley, Jayne Ann can be contacted via phone (580) 339-8001.Contact Information
Primary practice address
1710 W 3Rd St Ste 100
Elk City OK 73644-5160
Phone: (580) 339-8001
Fax: (580) 339-8031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 88982 | Oklahoma |
Profile Details
| NPI number | 1356782304 |
|---|---|
| LBN Legal business name | Bentley, Jayne Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2013 |
| Last updated | Oct 19th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356782304 | NPPES |
| Oklahoma | MEDICAID | 200511070A |
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