Tate, Bentley Cole

Tate, Bentley Cole is an sole proprietor health care provider with primary practice located at 1100 Carson Ave , La Junta CO 81050-2751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tate, Bentley Cole can be contacted via phone (303) 770-4491.

Contact Information

Primary practice address
1100 Carson Ave La Junta CO 81050-2751
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 32381 Colorado

Profile Details

NPI number 1649229675
LBN Legal business name Tate, Bentley Cole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Jul 16th, 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 1649229675 NPPES
Colorado MEDICAID 1323815

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