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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1548201544 | NPPES |
Alabama | MEDICAID | 198440 | |
Alabama | Other | 051000404 | |
Alabama | Other | 102G739427 |
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