Gardner, Ben A
Gardner, Ben A is an individual health care provider with primary practice located at 854 W James Campbell Blvd Suite 403, Columbia TN 38401-4659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gardner, Ben A can be contacted via phone (931) 380-0075.Contact Information
Primary practice address
854 W James Campbell Blvd Suite 403
Columbia TN 38401-4659
Phone: (931) 380-0075
Fax: (931) 388-7502
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 17712 | Tennessee |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 17712 | Tennessee |
Profile Details
NPI number | 1316054133 |
---|---|
LBN Legal business name | Gardner, Ben A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 25th, 2006 |
Last updated | Mar 8th, 2016 - about 9 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 | 1316054133 | NPPES |
Tennessee | MEDICAID | 3024573 | |
Tennessee | Other | 3154189 | |
Tennessee | MEDICAID | 3710089 |
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