Bentz, Jerome Wayne

Bentz, Jerome Wayne is an individual health care provider with primary practice located at 601 E 7Th St , Platte SD 57369-2123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bentz, Jerome Wayne can be contacted via phone (605) 337-1501.

Contact Information

Primary practice address
601 E 7Th St Platte SD 57369-2123
Phone: (605) 337-1501
Fax: (605) 337-3360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1337 South Dakota

Profile Details

NPI number 1649274986
LBN Legal business name Bentz, Jerome Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 28th, 2021 - about 4 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 1649274986 NPPES
South Dakota MEDICAID 5602594
South Dakota MEDICAID 5602593

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