Bethel, Dennis
Bethel, Dennis is an individual health care provider with primary practice located at 1303 E Herndon Ave Saint Agnes Medical Center, Fresno CA 93720-3309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bethel, Dennis can be contacted via phone (559) 450-7055.Contact Information
Primary practice address
1303 E Herndon Ave Saint Agnes Medical Center
Fresno CA 93720-3309
Phone: (559) 450-7055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2002-0300 | New Mexico |
Profile Details
| NPI number | 1487632865 |
|---|---|
| LBN Legal business name | Bethel, Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Nov 7th, 2013 - about 13 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 | 1487632865 | NPPES |
| New Mexico | Other | 10003904 | LOVELACE |
| New Mexico | Other | 723470 | LOVELACE |
| New Mexico | MEDICAID | 84355573 | LOVELACE |
| New Mexico | Other | PROVP11428 | LOVELACE |
| New Mexico | MEDICAID | 00A705220 | LOVELACE |
| New Mexico | Other | 201037610 | LOVELACE |
| New Mexico | Other | NM007580 | LOVELACE |
| New Mexico | Other | 85031326887301A064 | LOVELACE |
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