Gentry, Nicholas L
Gentry, Nicholas L is an individual health care provider with primary practice located at 3959 N. Steele Blvd, Ste 122 , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gentry, Nicholas L can be contacted via phone (479) 335-5777.Contact Information
Primary practice address
3959 N. Steele Blvd, Ste 122
Fayetteville AR 72703
Phone: (479) 335-5777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0101245142 | Virginia |
Profile Details
| NPI number | 1497953079 |
|---|---|
| LBN Legal business name | Gentry, Nicholas L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jul 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497953079 | NPPES |
| Other | 12518279 | CAQH |
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