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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245224435 NPPES
Michigan MEDICAID 4522344
Michigan Other 0531024

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