Bardwell, George Lynn
Bardwell, George Lynn is an sole proprietor health care provider with primary practice located at 706 N Grand Canyon Blvd. , Williams AZ 86046-2200. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Bardwell, George Lynn can be contacted via phone (928) 635-9115.Contact Information
Primary practice address
706 N Grand Canyon Blvd.
Williams AZ 86046-2200
Phone: (928) 635-9115
Fax: (928) 635-9115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 898 | Arizona |
Profile Details
| NPI number | 1295937589 |
|---|---|
| LBN Legal business name | Bardwell, George Lynn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2007 |
| Last updated | Jun 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295937589 | NPPES |
| Arizona | Other | 860363015 | FED I D # |
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