Gardner, Frederick
Gardner, Frederick is an sole proprietor health care provider with primary practice located at 8402 Oswego Rd , Liverpool NY 13090-1004. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gardner, Frederick can be contacted via phone (315) 622-0102.Contact Information
Primary practice address
8402 Oswego Rd
Liverpool NY 13090-1004
Phone: (315) 622-0102
Fax: (315) 622-0112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X009506-1 | New York |
Profile Details
| NPI number | 1497797450 |
|---|---|
| LBN Legal business name | Gardner, Frederick |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 9th, 2012 - about 12 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 | 1497797450 | NPPES |
| New York | Other | CO95069 | WORKERS' COMPENSATION |
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