National Provider Identifier Database

ELLEN J BENTLEY MD PA
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

ELLEN J. BENTLEY, M.D., P.A.
700 MOUNT HOPE AVE
SUITE 430
BANGOR, ME04401-5691
Phone: 207-945-4300
Fax: 207-945-0755
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for ELLEN J. BENTLEY, M.D., P.A.

NPI Number 1831275684
Legal business name
LBN
ELLEN J. BENTLEY, M.D., P.A.
Authorized official ELLEN BENTLEY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2006
Last updated 11/06/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • ME License #: 013186
  • ME Medicaid: 135340000
  • ME Other: 2645719 AETNA IND
  • ME Other: 041320 ANTHEM
  • ME Other: M7321 CIGNA

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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