Bentley, Ralph L
Bentley, Ralph L is an individual health care provider with primary practice located at 1022 Shelton Ave , Statesville NC 28677-6826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bentley, Ralph L can be contacted via phone (704) 768-2080.Contact Information
Primary practice address
1022 Shelton Ave
Statesville NC 28677-6826
Phone: (704) 768-2080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 11792 | North Carolina |
Profile Details
| NPI number | 1912999681 |
|---|---|
| LBN Legal business name | Bentley, Ralph L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Oct 16th, 2019 - about 5 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 | 1912999681 | NPPES |
| North Carolina | Other | 15000 | BCBSNC |
| North Carolina | MEDICAID | 8915000 | BCBSNC |
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