Gentry, Eric I
Gentry, Eric I is an individual health care provider with primary practice located at 501 Kings Hwy E Suite 204, Fairfield CT 06825-4867. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gentry, Eric I can be contacted via phone (203) 610-6300.Contact Information
Primary practice address
501 Kings Hwy E Suite 204
Fairfield CT 06825-4867
Phone: (203) 610-6300
Fax: (203) 610-6347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 033755 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 033755 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 033755 | Connecticut |
Profile Details
| NPI number | 1134200827 |
|---|---|
| LBN Legal business name | Gentry, Eric I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | May 31st, 2013 - about 12 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 | 1134200827 | NPPES |
| Connecticut | MEDICAID | 001337551 |
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