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
Fax: (817) 750-1237
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174552426 NPPES
Texas Other 0015MJ BLUE CROSS
Texas MEDICAID 159445901 BLUE CROSS

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