Gardner, Erin Scott
Gardner, Erin Scott is an sole proprietor health care provider with primary practice located at 3009 N Ballas Rd Ste 300A , Saint Louis MO 63131-2354. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Gardner, Erin Scott can be contacted via phone (314) 997-7546.Contact Information
Primary practice address
3009 N Ballas Rd Ste 300A
Saint Louis MO 63131-2354
Phone: (314) 997-7546
Fax: (314) 997-7558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2001005039 | Missouri |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 2001005039 | Missouri |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2001005039 | Missouri |
Profile Details
| NPI number | 1285630061 |
|---|---|
| LBN Legal business name | Gardner, Erin Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2005 |
| Last updated | Mar 4th, 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 | 1285630061 | NPPES |
| Missouri | Other | 070016410 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 152349 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 364447622 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 364447622 63703 A001 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 36-4447622-71631 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 364447622 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 070016411 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 36-4447622 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 3644476220001 | RR MEDICARE - STL OFFICE |
| Missouri | Other | 36-4447622 | RR MEDICARE - STL OFFICE |
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