Bender, Jan
Bender, Jan is an individual health care provider with primary practice located at 6449 38Th Ave N Suite G4, St Petersburg FL 33710-1655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bender, Jan can be contacted via phone (727) 347-2557.Contact Information
Primary practice address
6449 38Th Ave N Suite G4
St Petersburg FL 33710-1655
Phone: (727) 347-2557
Fax: (727) 345-8972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME0055667 | Florida |
Profile Details
| NPI number | 1255304259 |
|---|---|
| LBN Legal business name | Bender, Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jul 1st, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255304259 | NPPES |
| Florida | MEDICAID | 056530000 |
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