Bentson, Jeffrey G

Bentson, Jeffrey G is an sole proprietor health care provider with primary practice located at 2001 Bal Harbor Blvd Unit 2302, Punta Gorda FL 33950-8229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bentson, Jeffrey G can be contacted via phone (941) 889-9264.

Contact Information

Primary practice address
2001 Bal Harbor Blvd Unit 2302 Punta Gorda FL 33950-8229
Phone: (941) 889-9264
Fax: (941) 505-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44074 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME113951 Florida

Profile Details

NPI number 1689668592
LBN Legal business name Bentson, Jeffrey G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated May 6th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689668592 NPPES
Wisconsin MEDICAID 11014110
Wisconsin Other GR217A
Wisconsin Other 591563145
Wisconsin Other 1851477913
Wisconsin Other 591563145
Wisconsin MEDICAID 34194200
Wisconsin Other 14NPI

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