Gentry, Chet M
Gentry, Chet M is an individual health care provider with primary practice located at 3300 Williams Enterprise Dr , Cookeville TN 38506-4280. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gentry, Chet M can be contacted via phone (931) 528-9222.Contact Information
Primary practice address
3300 Williams Enterprise Dr
Cookeville TN 38506-4280
Phone: (931) 528-9222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23607 | Tennessee |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 23607 | Tennessee |
Profile Details
| NPI number | 1851380406 |
|---|---|
| LBN Legal business name | Gentry, Chet M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jun 2nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851380406 | NPPES |
| Tennessee | MEDICAID | 3068762 |
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