Gentry, Amanda L

Gentry, Amanda L is an individual health care provider with primary practice located at 100 Alfred Loop Apt 201, Chesapeake VA 23320-3059. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Gentry, Amanda L can be contacted via phone (979) 256-9452.

Contact Information

Primary practice address
100 Alfred Loop Apt 201 Chesapeake VA 23320-3059
Phone: (979) 256-9452
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1922055169
LBN Legal business name Gentry, Amanda L
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 7th, 2009 - 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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