Gentile, Charon Emily

Gentile, Charon Emily is an sole proprietor health care provider with primary practice located at 259 Gabasse St , Houma LA 70360-4417. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gentile, Charon Emily can be contacted via phone (985) 873-7244.

Contact Information

Primary practice address
259 Gabasse St Houma LA 70360-4417
Fax: (985) 876-2111
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X L#12368R Louisiana

Profile Details

NPI number 1467550830
LBN Legal business name Gentile, Charon Emily
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 31st, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467550830 NPPES
Louisiana MEDICAID 1699713

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