Bentley, Mari J
Bentley, Mari J is an individual health care provider with primary practice located at 850 Harrison Avenue Yacc 5, Boston MA 02118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bentley, Mari J can be contacted via phone (617) 414-2000.Contact Information
Primary practice address
850 Harrison Avenue Yacc 5
Boston MA 02118
Phone: (617) 414-2000
Fax: (617) 414-5798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101261551 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209027 | Massachusetts |
Profile Details
| NPI number | 1043299027 |
|---|---|
| LBN Legal business name | Bentley, Mari J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Sep 13th, 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 | 1043299027 | NPPES |
| Massachusetts | MEDICAID | 110004861A |
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