Bentley, Jared Carson
Bentley, Jared Carson is an individual health care provider with primary practice located at 1711 27Th St Ste 102 , Portsmouth OH 45662-2657. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Bentley, Jared Carson can be contacted via phone (740) 356-1709.Contact Information
Primary practice address
1711 27Th St Ste 102
Portsmouth OH 45662-2657
Phone: (740) 356-1709
Fax: (740) 353-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 35.098332 | Ohio |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35.098332 | Ohio |
Profile Details
| NPI number | 1114238805 |
|---|---|
| LBN Legal business name | Bentley, Jared Carson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2010 |
| Last updated | Dec 22nd, 2020 - about 5 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 | 1114238805 | NPPES |
| Ohio | MEDICAID | 0077256 |
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