Provider Demographics
NPI:1639430457
Name:BENTLEY, WILLIAM A (BOCP, CFO, CPA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:BENTLEY
Suffix:
Gender:M
Credentials:BOCP, CFO, CPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLON
Mailing Address - State:NV
Mailing Address - Zip Code:89406-4330
Mailing Address - Country:US
Mailing Address - Phone:775-882-4408
Mailing Address - Fax:775-882-1561
Practice Address - Street 1:20 AFFONSO DR STE G
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7794
Practice Address - Country:US
Practice Address - Phone:775-882-4408
Practice Address - Fax:775-882-1561
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter