Gardner, Gene R

Gardner, Gene R is an individual health care provider with primary practice located at 605 N 12Th St , Mount Vernon IL 62864-2857. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gardner, Gene R can be contacted via phone (618) 241-1108.

Contact Information

Primary practice address
605 N 12Th St Mount Vernon IL 62864-2857
Phone: (618) 241-1108
Fax: (618) 241-3805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Illinois

Profile Details

NPI number 1710089818
LBN Legal business name Gardner, Gene R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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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