Middleton, Bethany
Middleton, Bethany is an individual health care provider with primary practice located at 2534 Farragut Dr , Springfield IL 62704-1457. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Middleton, Bethany can be contacted via phone (217) 546-4674.Contact Information
Primary practice address
2534 Farragut Dr
Springfield IL 62704-1457
Phone: (217) 546-4674
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 019029349 | Illinois |
Profile Details
| NPI number | 1235535808 |
|---|---|
| LBN Legal business name | Middleton, Bethany |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2014 |
| Last updated | Nov 10th, 2014 - 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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