Bentz, Barbara A

Bentz, Barbara A is an individual health care provider with primary practice located at 2701 13Th Ave S , Fargo ND 58103-3602. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bentz, Barbara A can be contacted via phone (701) 234-3620.

Contact Information

Primary practice address
2701 13Th Ave S Fargo ND 58103-3602
Phone: (701) 234-3620
Fax: (701) 234-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10932 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30705 Minnesota

Profile Details

NPI number 1275631640
LBN Legal business name Bentz, Barbara A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 29th, 2011 - about 14 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 1275631640 NPPES
Minnesota Other 251285800 MA #
Minnesota Other 379000267 MA #
Minnesota Other 061G0BE MA #
Minnesota MEDICAID 14803 MA #

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