Gentile, Bethany L.
Gentile, Bethany L. is an individual health care provider with primary practice located at 736 Cambridge St , Brighton MA 02135-2907. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gentile, Bethany L. can be contacted via phone (617) 789-5115.Contact Information
Primary practice address
736 Cambridge St
Brighton MA 02135-2907
Phone: (617) 789-5115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1039178 | Massachusetts |
Profile Details
| NPI number | 1962770313 |
|---|---|
| LBN Legal business name | Gentile, Bethany L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 14 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 | 1962770313 | NPPES |
| Massachusetts | Other | 1039178 | MA LICENSE |
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