Bentley, Joshua Maxwell

Bentley, Joshua Maxwell is an individual health care provider with primary practice located at 1250 Bardstown Rd Ste 8 , Louisville KY 40204-1333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bentley, Joshua Maxwell can be contacted via phone (502) 456-7047.

Contact Information

Primary practice address
1250 Bardstown Rd Ste 8 Louisville KY 40204-1333
Fax: (502) 457-1491
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 47083 Kentucky

Profile Details

NPI number 1578862033
LBN Legal business name Bentley, Joshua Maxwell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2011
Last updated Feb 16th, 2022 - about 3 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 1578862033 NPPES
Kentucky MEDICAID 7100217160
Kentucky Other P01492227 (KOHMG)

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