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Contact Information

EMMETT M BENTLEY, DO
2345 DOUGHERTY FERRY RD
SAINT LOUIS, MO63122-3313
 Phone: 314-966-9590
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EMMETT M BENTLEY · (Male)

NPI # 1487725966
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # DOR9613
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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