Gentry, Rebecca A

Gentry, Rebecca A is an individual health care provider with primary practice located at 4015 Gateway Blvd Ste 2120, Newburgh IN 47630-8925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gentry, Rebecca A can be contacted via phone (812) 842-0907.

Contact Information

Primary practice address
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-8925
Phone: (812) 842-0907
Fax: (812) 464-0536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001074A Indiana

Profile Details

NPI number 1184864241
LBN Legal business name Gentry, Rebecca A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2009
Last updated Dec 4th, 2015 - about 11 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 1184864241 NPPES
Indiana Other 000000617297 ANTHEM

Popular Providers