Gentry, Nona
Gentry, Nona is an sole proprietor health care provider with primary practice located at 123 E Avenue C , Heavener OK 74937-2603. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gentry, Nona can be contacted via phone (918) 658-8078.Contact Information
Primary practice address
123 E Avenue C
Heavener OK 74937-2603
Phone: (918) 658-8078
Fax: (866) 318-8057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1336247493 |
|---|---|
| LBN Legal business name | Gentry, Nona |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Sep 16th, 2020 - about 4 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 | 1336247493 | NPPES |
| Oklahoma | MEDICAID | 100399640F |
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