Bentley, Tyrone
Bentley, Tyrone is an individual health care provider with primary practice located at 183 South Orange Avenue F-Level, Newark NJ 07107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as his primary health care specialty. Bentley, Tyrone can be contacted via phone (973) 972-8930.Contact Information
Primary practice address
183 South Orange Avenue F-Level
Newark NJ 07107
Phone: (973) 972-8930
Fax: (973) 972-0812
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 25MA07944500 | New Jersey |
Profile Details
| NPI number | 1255402178 |
|---|---|
| LBN Legal business name | Bentley, Tyrone |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Aug 20th, 2009 - about 16 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 | 1255402178 | NPPES |
| New Jersey | MEDICAID | 0097446 |
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