Individual
JARED CARSON BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1711 27TH ST STE 102, PORTSMOUTH, OH 45662-2657
(740) 356-1709
(740) 353-3027
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.098332
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35.098332
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077256
—
OH
Enumeration date
06/28/2010
Last updated
12/22/2020
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