Gardner, Gregory J
Gardner, Gregory J is an individual health care provider with primary practice located at 9350 S 150 E #460, Sandy UT 84070-2702. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gardner, Gregory J can be contacted via phone (801) 255-4999.Contact Information
Primary practice address
9350 S 150 E #460
Sandy UT 84070-2702
Phone: (801) 255-4999
Fax: (801) 748-1865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 104149-2401 | Utah |
Profile Details
| NPI number | 1528063575 |
|---|---|
| LBN Legal business name | Gardner, Gregory J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1528063575 | NPPES |
| Utah | Other | 104149-2401 | STATE LICENSE |
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