Gardner, Ben D

Gardner, Ben D is an individual health care provider with primary practice located at 1100 Eastside St Se , Olympia WA 98501-7304. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Gardner, Ben D can be contacted via phone (360) 943-5127.

Contact Information

Primary practice address
1100 Eastside St Se Olympia WA 98501-7304
Phone: (360) 943-5127
Fax: (360) 754-2516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN00158155 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007002 Washington

Profile Details

NPI number 1205877727
LBN Legal business name Gardner, Ben D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 12th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205877727 NPPES
Washington MEDICAID 9645300

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