Gentz, Judith R.

Gentz, Judith R. is an individual health care provider with primary practice located at 555 Towner St , Ypsilanti MI 48198-5752. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gentz, Judith R. can be contacted via phone (734) 544-3000.

Contact Information

Primary practice address
555 Towner St Ypsilanti MI 48198-5752
Phone: (734) 544-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704167564 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704167564 Michigan

Profile Details

NPI number 1821149725
LBN Legal business name Gentz, Judith R.
Credentials RN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 21st, 2012 - 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 1821149725 NPPES
Michigan MEDICAID 104996484

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