Gentz, Mark A

Gentz, Mark A is an individual health care provider with primary practice located at 13700 St Francis Blvd Suite 505, Midlothian VA 23114-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gentz, Mark A can be contacted via phone (804) 601-0609.

Contact Information

Primary practice address
13700 St Francis Blvd Suite 505 Midlothian VA 23114-3222
Fax: (804) 594-7424
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0102201823 Virginia

Profile Details

NPI number 1033153465
LBN Legal business name Gentz, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jan 11th, 2017 - about 8 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 1033153465 NPPES
Virginia MEDICAID 0102201823
Virginia Other C11046

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