Bentley, Teresa Jean

Bentley, Teresa Jean is an individual health care provider with primary practice located at 120 Tradepark Dr Suite B, Somerset KY 42503-3454. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bentley, Teresa Jean can be contacted via phone (606) 679-9292.

Contact Information

Primary practice address
120 Tradepark Dr Suite B Somerset KY 42503-3454
Phone: (606) 679-9292
Fax: (606) 679-9294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22399 Kentucky
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 22399 Kentucky
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 22399 Kentucky
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 22399 Kentucky

Profile Details

NPI number 1922150994
LBN Legal business name Bentley, Teresa Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 7th, 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 1922150994 NPPES
Other 000000048629 ANTHEM
MEDICAID 64223993 ANTHEM
Other 070007354 ANTHEM

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