Gentile, Andrea Leslie

Gentile, Andrea Leslie is an individual health care provider with primary practice located at 1753 Fulton St , Elkhart IN 46514-1927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Gentile, Andrea Leslie can be contacted via phone (574) 293-9448.

Contact Information

Primary practice address
1753 Fulton St Elkhart IN 46514-1927
Phone: (574) 293-9448
Fax: (574) 293-9480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01085704A Indiana

Profile Details

NPI number 1942664784
LBN Legal business name Gentile, Andrea Leslie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated May 17th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942664784 NPPES
Arkansas MEDICAID 213362795
Arkansas MEDICAID 08333075
Arkansas MEDICAID 300050491

Popular Providers