Bentson, Jessica Anne

Bentson, Jessica Anne is an individual health care provider with primary practice located at 525 N 9Th St , Bismarck ND 58501-4510. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bentson, Jessica Anne can be contacted via phone (701) 258-8120.

Contact Information

Primary practice address
525 N 9Th St Bismarck ND 58501-4510
Phone: (701) 258-8120
Fax: (701) 222-0229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 49 North Dakota

Profile Details

NPI number 1386654424
LBN Legal business name Bentson, Jessica Anne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Oct 12th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386654424 NPPES
North Dakota MEDICAID 12003

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