Gardiner, Tyler
Gardiner, Tyler is an sole proprietor health care provider with primary practice located at 119 Gannett Dr , South Portland ME 04106-6942. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gardiner, Tyler can be contacted via phone (207) 773-0040.Contact Information
Primary practice address
119 Gannett Dr
South Portland ME 04106-6942
Phone: (207) 773-0040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT881 | Maine |
Profile Details
| NPI number | 1063035616 |
|---|---|
| LBN Legal business name | Gardiner, Tyler |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2020 |
| Last updated | Jun 23rd, 2022 - about 3 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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