Bentley, Robert

Bentley, Robert is an sole proprietor health care provider with primary practice located at 4960 Rice Mine Rd Ne Ste 40 , Tuscaloosa AL 35406-2671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bentley, Robert can be contacted via phone (205) 759-1519.

Contact Information

Primary practice address
4960 Rice Mine Rd Ne Ste 40 Tuscaloosa AL 35406-2671
Phone: (205) 759-1519
Fax: (205) 750-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 00005543 Alabama

Profile Details

NPI number 1548201544
LBN Legal business name Bentley, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Nov 9th, 2023 - about last year

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 1548201544 NPPES
Alabama MEDICAID 198440
Alabama Other 051000404
Alabama Other 102G739427

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