Bentson, Scott Bradley

Bentson, Scott Bradley is an individual health care provider with primary practice located at 120 Labree Ave S , Thief River Falls MN 56701-2840. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bentson, Scott Bradley can be contacted via phone (218) 681-4240.

Contact Information

Primary practice address
120 Labree Ave S Thief River Falls MN 56701-2840
Phone: (218) 681-4240
Fax: (218) 683-4632
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP4989 Minnesota

Profile Details

NPI number 1396981007
LBN Legal business name Bentson, Scott Bradley
Credentials LP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2008
Last updated Sep 15th, 2014 - about 12 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 1396981007 NPPES
Minnesota MEDICAID 897047500

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