Gardner, Jason

Gardner, Jason is an individual health care provider with primary practice located at 400 Lakemont Boulevard Lower Level, Altoona PA 16602. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gardner, Jason can be contacted via phone (814) 946-0261.

Contact Information

Primary practice address
400 Lakemont Boulevard Lower Level Altoona PA 16602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1629106372
LBN Legal business name Gardner, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
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.

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