Gentry, John Scott
Gentry, John Scott is an sole proprietor health care provider with primary practice located at 2328 Knob Creek Rd Suite 506, Johnson City TN 37604-2100. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gentry, John Scott can be contacted via phone (423) 722-1311.Contact Information
Primary practice address
2328 Knob Creek Rd Suite 506
Johnson City TN 37604-2100
Phone: (423) 722-1311
Fax: (423) 926-0529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 827 | Tennessee |
Profile Details
| NPI number | 1871549691 |
|---|---|
| LBN Legal business name | Gentry, John Scott |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2006 |
| Last updated | Nov 23rd, 2015 - about 10 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 | 1871549691 | NPPES |
| Tennessee | Other | 3596084 | DMERC |
| Tennessee | Other | 48046 | DMERC |
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