Gentry, Douglas James
Gentry, Douglas James is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gentry, Douglas James can be contacted via phone (231) 935-5000.Contact Information
Primary practice address
1105 Sixth St
Traverse City MI 49684-2345
Phone: (231) 935-5000
Fax: (231) 346-6017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301076105 | Michigan |
Profile Details
| NPI number | 1245224435 |
|---|---|
| LBN Legal business name | Gentry, Douglas James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Nov 25th, 2022 - about 2 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 | 1245224435 | NPPES |
| Michigan | MEDICAID | 4522344 | |
| Michigan | Other | 0531024 |
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