Bentley, Teresa Jean
Bentley, Teresa Jean is an individual health care provider with primary practice located at 120 Tradepark Dr Suite B, Somerset KY 42503-3454. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bentley, Teresa Jean can be contacted via phone (606) 679-9292.Contact Information
Primary practice address
120 Tradepark Dr Suite B
Somerset KY 42503-3454
Phone: (606) 679-9292
Fax: (606) 679-9294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 22399 | Kentucky |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 22399 | Kentucky |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 22399 | Kentucky |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 22399 | Kentucky |
Profile Details
| NPI number | 1922150994 |
|---|---|
| LBN Legal business name | Bentley, Teresa Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| 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 | 1922150994 | NPPES |
| Other | 000000048629 | ANTHEM | |
| MEDICAID | 64223993 | ANTHEM | |
| Other | 070007354 | ANTHEM |
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