Thatcher, Gentry W

Thatcher, Gentry W is an individual health care provider with primary practice located at 198 Massachusetts Ave #103 , N Andover MA 01845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Thatcher, Gentry W can be contacted via phone (978) 685-7550.

Contact Information

Primary practice address
198 Massachusetts Ave #103 N Andover MA 01845
Phone: (978) 685-7550
Fax: (978) 686-5565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 204712 Massachusetts
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11012 New Hampshire

Profile Details

NPI number 1124020730
LBN Legal business name Thatcher, Gentry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124020730 NPPES
Other 2344337 AETNA/USHC
Other B20973001 AETNA/USHC
Other 0020548 AETNA/USHC
Other 01Y002475MA01 AETNA/USHC
Other 204712 AETNA/USHC
Other 7439118-001 AETNA/USHC
Other 76754 AETNA/USHC
Other 976854 AETNA/USHC
Other J22387 AETNA/USHC
Other 10-00243 AETNA/USHC
Other J22387 AETNA/USHC
MEDICAID 0104914 AETNA/USHC
Other 19901 AETNA/USHC
Other 65475 AETNA/USHC
Other 040015652 AETNA/USHC
Other 204712 AETNA/USHC

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