Bentley, David Eric
Bentley, David Eric is an sole proprietor health care provider with primary practice located at 1878 Old Lebanon Rd , Campbellsville KY 42718-9663. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bentley, David Eric can be contacted via phone (270) 465-7505.Contact Information
Primary practice address
1878 Old Lebanon Rd
Campbellsville KY 42718-9663
Phone: (270) 465-7505
Fax: (270) 789-3860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24667 | Kentucky |
Profile Details
| NPI number | 1174605364 |
|---|---|
| LBN Legal business name | Bentley, David Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1174605364 | NPPES |
| Kentucky | Other | 48C4 | BC/BS |
| Kentucky | Other | 020025461 | BC/BS |
| Kentucky | MEDICAID | 64246671 | BC/BS |
| Kentucky | Other | 000000062911 | BC/BS |
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