Gennaro, John B
Gennaro, John B is an sole proprietor health care provider with primary practice located at 828 Avenue G , Marrero LA 70072-1830. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gennaro, John B can be contacted via phone (504) 341-5200.Contact Information
Primary practice address
828 Avenue G
Marrero LA 70072-1830
Phone: (504) 341-5200
Fax: (504) 341-6977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2285 | Louisiana |
Profile Details
| NPI number | 1316073786 |
|---|---|
| LBN Legal business name | Gennaro, John B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1316073786 | NPPES |
| Louisiana | MEDICAID | 1822850 |
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