Gentry, Rebecca A
Gentry, Rebecca A is an individual health care provider with primary practice located at 4015 Gateway Blvd Ste 2120, Newburgh IN 47630-8925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gentry, Rebecca A can be contacted via phone (812) 842-0907.Contact Information
Primary practice address
4015 Gateway Blvd Ste 2120
Newburgh IN 47630-8925
Phone: (812) 842-0907
Fax: (812) 464-0536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10001074A | Indiana |
Profile Details
| NPI number | 1184864241 |
|---|---|
| LBN Legal business name | Gentry, Rebecca A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2009 |
| Last updated | Dec 4th, 2015 - about 9 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 | 1184864241 | NPPES |
| Indiana | Other | 000000617297 | ANTHEM |
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