Bentrem, George Alexander
Bentrem, George Alexander is an individual health care provider with primary practice located at 12515 Timber Way Rt 259, Broadway VA 22815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bentrem, George Alexander can be contacted via phone (540) 896-7061.Contact Information
Primary practice address
12515 Timber Way Rt 259
Broadway VA 22815
Phone: (540) 896-7061
Fax: (540) 896-7062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101054180 | Virginia |
Profile Details
| NPI number | 1699749648 |
|---|---|
| LBN Legal business name | Bentrem, George Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1699749648 | NPPES |
| Virginia | MEDICAID | 5619734 |
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