Gardner, James William

Gardner, James William is an individual health care provider with primary practice located at 315 E Elm St Ste 100, Caldwell ID 83605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gardner, James William can be contacted via phone (208) 302-7100.

Contact Information

Primary practice address
315 E Elm St Ste 100 Caldwell ID 83605
Phone: (208) 302-7100
Fax: (208) 302-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD216301 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6671 Idaho

Profile Details

NPI number 1730275876
LBN Legal business name Gardner, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 2nd, 2024 - about last year

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 1730275876 NPPES
Idaho MEDICAID 003703700
Idaho MEDICAID 1132570

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