Gentry, Jeniece
Gentry, Jeniece is an individual health care provider with primary practice located at 732 Beckman St , Dayton OH 45410-2165. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gentry, Jeniece can be contacted via phone (937) 250-2154.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 172401 | Ohio |
Profile Details
| NPI number | 1336788132 |
|---|---|
| LBN Legal business name | Gentry, Jeniece |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2019 |
| Last updated | Dec 27th, 2019 - about 5 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 | 1336788132 | NPPES |
| Ohio | MEDICAID | 172401 |
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