Bentley, Jody B.

Bentley, Jody B. is an individual health care provider with primary practice located at 96 15Th St Nw Suite 111, Norton VA 24273-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bentley, Jody B. can be contacted via phone (276) 439-1860.

Contact Information

Primary practice address
96 15Th St Nw Suite 111 Norton VA 24273-1625
Phone: (276) 439-1860
Fax: (276) 439-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102201550 Virginia

Profile Details

NPI number 1083682983
LBN Legal business name Bentley, Jody B.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jan 27th, 2017 - about 8 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 1083682983 NPPES
Other P00689801 RR MEDICARE
MEDICAID 1083682983 RR MEDICARE
MEDICAID 7100063400 RR MEDICARE

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