Gentless, John

Gentless, John is an sole proprietor health care provider with primary practice located at 2301 Evesham Road Suite 207, Voorhees NJ 08043-4504. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Gentless, John can be contacted via phone (185) 677-2111.

Contact Information

Primary practice address
2301 Evesham Road Suite 207 Voorhees NJ 08043-4504
Phone: (185) 677-2111
Fax: (185) 677-2922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD02135 New Jersey
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X MD02135 New Jersey
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X MD02135 New Jersey

Profile Details

NPI number 1821031055
LBN Legal business name Gentless, John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jun 17th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821031055 NPPES
New Jersey Other 000046385 HIGHMARK BLUE SHIELD
New Jersey Other 01000453900 HIGHMARK BLUE SHIELD
New Jersey Other 0321123000 HIGHMARK BLUE SHIELD
New Jersey MEDICAID 5245508 HIGHMARK BLUE SHIELD

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