Gentry, John D.

Gentry, John D. is an individual health care provider with primary practice located at 8303 Dodge St , Omaha NE 68114-4108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gentry, John D. can be contacted via phone (402) 354-4540.

Contact Information

Primary practice address
8303 Dodge St Omaha NE 68114-4108
Phone: (402) 354-4540
Fax: (402) 354-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23727 Nebraska
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 48894 Minnesota

Profile Details

NPI number 1477642205
LBN Legal business name Gentry, John D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477642205 NPPES
Nebraska MEDICAID 47037660422
Nebraska MEDICAID 1477642205
Nebraska MEDICAID 404408000

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