Jack Bentley is a Specialist in Mobile, Alabama. Jack Bentley practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack Bentley is 1124110739. The last update date is 2007-07-08.
Jack Bentley's current location address is 67 E Midtown Park, Mobile, Alabama. You can contact this provider via phone number 2514761279 and fax number 2514762882. The mailing address for Jack Bentley is 67 E Midtown Park, Mobile, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Bentley |
|---|---|
| Address | 67 E Midtown Park, Mobile, Alabama |
| Phone Number | 2514761279 |
| Fax Number | 2514762882 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1124110739 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 67 E Midtown Park |
|---|---|
| City | Mobile |
| State | Alabama (AL) |
| Post Code | 366064141 |
| Phone Number | 2514761279 |
| Fax Number | 2514762882 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PTH3594 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTH3594 | AL | PHYSICAL THERAPY LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Bentley by the Centers for Medicare & Medicaid Services?
The Jack Bentley has been issued the NPI (National Provider Identifier) 1124110739, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Bentley?
The Jack Bentley is physically situated at 67 E Midtown Park, in the city of Mobile, state of AL, with the postal code 366064141.
What is Jack Bentley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Bentley's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124110739 to Jack Bentley?
The Centers for Medicare & Medicaid Services assigned the 1124110739 to Jack Bentley on 2006-09-29.
As of what date was the information regarding Jack Bentley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Bentley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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