Gentry, Richard R.

Gentry, Richard R. is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gentry, Richard R. can be contacted via phone (423) 968-1144.

Contact Information

Primary practice address
1 Medical Park Blvd Bristol TN 37620-7430
Fax: (423) 968-3453
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22102 Tennessee

Profile Details

NPI number 1194726778
LBN Legal business name Gentry, Richard R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 22nd, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194726778 NPPES
Tennessee Other R07104 JOHN DEERE
Tennessee Other 300066638 JOHN DEERE
Tennessee Other 50828 JOHN DEERE
Tennessee MEDICAID 64911795 JOHN DEERE
Tennessee Other 242044 JOHN DEERE
Tennessee MEDICAID 3065776 JOHN DEERE
Tennessee MEDICAID 0119158000 JOHN DEERE
Tennessee MEDICAID 7213361 JOHN DEERE

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