Individual
DR. ANTHONY J BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4421 ROOSEVELT BLVD, SUITE B, MIDDLETOWN, OH 45044-6239
(513) 423-0550
(513) 423-5171
Mailing address
3630 COMMERCE DR, MIDDLETOWN, OH 45005-5228
(513) 423-0550
(513) 423-5171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2756
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179781
ANTHEM PROVIDER#
OH
05
—
2092471
—
OH
01
—
31-1733056
TAX ID#
OH
01
—
311733056-00
BWC PROVIDER#
OH
Enumeration date
07/13/2005
Last updated
04/09/2021
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