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JACOB ERIC BENTLEY CO LO NPI 1417127432


NPI Information

NPI: 1417127432
Provider Name: JACOB ERIC BENTLEY, CO, LO
Classification: Orthotist - 222Z00000X
Entity Type: Individual
Address:
127 ENTERPRISE PATH
STE 403
HIRAM, GA
ZIP 30141
Phone: (678) 384-1921
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Jacob Eric Bentley, CO, LO is an orthotist in Hiram, GA. The provider is a health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. Jacob Eric Bentley, CO, LO NPI is 1417127432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

127 ENTERPRISE PATH
STE 403
HIRAM, GA
ZIP 30141-697
Phone: (678) 384-1921
Fax: (678) 384-1922

The enumeration date for this NPI number is 3/5/2008 and was last updated on 7/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1222Z00000XOrthotist14GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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