Bentz, Bret
Bentz, Bret is an sole proprietor health care provider with primary practice located at 6225 Paper Shell Way , Fort Worth TX 76179-9286. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Bentz, Bret can be contacted via phone (817) 988-1236.Contact Information
Primary practice address
6225 Paper Shell Way
Fort Worth TX 76179-9286
Phone: (817) 988-1236
Fax: (817) 750-1237
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 31579 | Texas |
Profile Details
NPI number | 1174552426 |
---|---|
LBN Legal business name | Bentz, Bret |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2006 |
Last updated | Jun 7th, 2013 - about 11 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 | 1174552426 | NPPES |
Texas | Other | 0015MJ | BLUE CROSS |
Texas | MEDICAID | 159445901 | BLUE CROSS |
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