Gent, Theresa Rae
Gent, Theresa Rae is an individual health care provider with primary practice located at 630 W Maple St , Farmington NM 87401-6113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gent, Theresa Rae can be contacted via phone (505) 609-6300.Contact Information
Primary practice address
630 W Maple St
Farmington NM 87401-6113
Phone: (505) 609-6300
Fax: (505) 599-4636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.0005489 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1679042410 |
|---|---|
| LBN Legal business name | Gent, Theresa Rae |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2018 |
| Last updated | Jul 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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