Petersen, Bendt P

Petersen, Bendt P is an sole proprietor health care provider with primary practice located at 6701 Airport Blvd Ste 100 , Mobile AL 36608-6701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Petersen, Bendt P can be contacted via phone (251) 607-6117.

Contact Information

Primary practice address
6701 Airport Blvd Ste 100 Mobile AL 36608-6701
Phone: (251) 607-6117
Fax: (251) 219-0746
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 00016728 Alabama

Profile Details

NPI number 1477510915
LBN Legal business name Petersen, Bendt P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Aug 4th, 2022 - 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 1477510915 NPPES
Alabama Other 512-30874 BCBS
Alabama MEDICAID 249129 BCBS

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