Gardner, Andrea Dee
Gardner, Andrea Dee is an individual health care provider with primary practice located at 15215 Se 272Nd St Ste 105 , Kent WA 98042-9918. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Gardner, Andrea Dee can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
15215 Se 272Nd St Ste 105
Kent WA 98042-9918
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | CH61001282 | Washington |
Profile Details
| NPI number | 1194238857 |
|---|---|
| LBN Legal business name | Gardner, Andrea Dee |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2017 |
| Last updated | Dec 30th, 2022 - about 2 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 | 1194238857 | NPPES |
| Washington | Other | CH61001282 | CHIROPRACTIC LICENSE |
| Washington | Other | CH12356 | CHIROPRACTIC LICENSE |
| Washington | Other | 038.013678 | CHIROPRACTIC LICENSE |
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