Gentry, Michael Allen

Gentry, Michael Allen is an sole proprietor health care provider with primary practice located at 1722 S Glenstone Ave Suite K, Springfield MO 65804-1519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Gentry, Michael Allen can be contacted via phone (417) 883-8162.

Contact Information

Primary practice address
1722 S Glenstone Ave Suite K Springfield MO 65804-1519
Phone: (417) 883-8162
Fax: (417) 883-6225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 29675 Missouri
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X Missouri

Profile Details

NPI number 1477577633
LBN Legal business name Gentry, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jul 18th, 2007 - about 17 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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