Carlson, Gardner

Carlson, Gardner is an individual health care provider with primary practice located at 2225 Challenger Way , Santa Rosa CA 95407-5441. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Carlson, Gardner can be contacted via phone (707) 565-4970.

Contact Information

Primary practice address
2225 Challenger Way Santa Rosa CA 95407-5441
Phone: (707) 565-4970
Fax: (707) 565-5183
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 31251 California

Profile Details

NPI number 1063977460
LBN Legal business name Carlson, Gardner
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2019
Last updated Feb 10th, 2019 - about 5 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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