Gentner, Timothy Glenn

Gentner, Timothy Glenn is an individual health care provider with primary practice located at 1200 Mountain St , Carson City NV 89703-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gentner, Timothy Glenn can be contacted via phone (775) 882-1324.

Contact Information

Primary practice address
1200 Mountain St Carson City NV 89703-3821
Phone: (775) 882-1324
Fax: (775) 882-3859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7494 Nevada

Profile Details

NPI number 1073576609
LBN Legal business name Gentner, Timothy Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 7th, 2010 - about 15 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 1073576609 NPPES
Nevada MEDICAID 002013133

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