Individual
ELIZABETH A BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
835 W EMMITT AVE, WAVERLY, OH 45690-1190
(740) 947-7662
(740) 947-0099
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-1256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013715CTR
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184782
—
OH
Enumeration date
03/13/2009
Last updated
04/12/2023
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