Bentz, Mary Ann Dionne

Bentz, Mary Ann Dionne is an individual health care provider with primary practice located at 914 Hartford Tpke Ste 103 , Waterford CT 06385-4276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bentz, Mary Ann Dionne can be contacted via phone (860) 442-1346.

Contact Information

Primary practice address
914 Hartford Tpke Ste 103 Waterford CT 06385-4276
Phone: (860) 442-1346
Fax: (860) 444-6208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 035094 Connecticut

Profile Details

NPI number 1295720910
LBN Legal business name Bentz, Mary Ann Dionne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 5th, 2022 - about 2 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 1295720910 NPPES
Other 2495463 UNITED HEALTH CARE
Other P380349 UNITED HEALTH CARE
MEDICAID 4090841 UNITED HEALTH CARE
Other 030840 UNITED HEALTH CARE
MEDICAID 001350941 UNITED HEALTH CARE
Other 010035094CT01 UNITED HEALTH CARE

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