Gardner, Dan Robert
Gardner, Dan Robert is an individual health care provider with primary practice located at 725 Highland Oaks Dr Suite 101, Winston Salem NC 27103-7109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gardner, Dan Robert can be contacted via phone (336) 659-8180.Contact Information
Primary practice address
725 Highland Oaks Dr Suite 101
Winston Salem NC 27103-7109
Phone: (336) 659-8180
Fax: (336) 659-8363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C4332 | Arkansas |
Profile Details
| NPI number | 1306836622 |
|---|---|
| LBN Legal business name | Gardner, Dan Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 2nd, 2009 - about 15 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 | 1306836622 | NPPES |
| Arkansas | MEDICAID | 102198001 |
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