Gardner, James L

Gardner, James L is an individual health care provider with primary practice located at 2825 Albert Pike Rd , Hot Springs AR 71913-2619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, James L can be contacted via phone (501) 767-9111.

Contact Information

Primary practice address
2825 Albert Pike Rd Hot Springs AR 71913-2619
Phone: (501) 767-9111
Fax: (501) 767-3433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C4714 Arkansas

Profile Details

NPI number 1538161385
LBN Legal business name Gardner, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jun 28th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538161385 NPPES
Arkansas MEDICAID 102371001

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