Gardner, Jeff J.
Gardner, Jeff J. is an sole proprietor health care provider with primary practice located at 1217 N Coast Hwy Ste D , Newport OR 97365-2499. He recently has 2 registered licenses in different health care specialties including Suppliers / Hearing Aid Equipment, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Suppliers / Hearing Aid Equipment is his primary health care specialty. Gardner, Jeff J. can be contacted via phone (541) 265-6273.Contact Information
Primary practice address
1217 N Coast Hwy Ste D
Newport OR 97365-2499
Phone: (541) 265-6273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Hearing Aid Equipment | 332S00000X | ||
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | 404279 | Oregon |
Profile Details
NPI number | 1043362221 |
---|---|
LBN Legal business name | Gardner, Jeff J. |
Credentials | H.A.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 17th, 2007 |
Last updated | Jul 8th, 2009 - about 16 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 | 1043362221 | NPPES |
Oregon | MEDICAID | 022742 | |
Oregon | MEDICAID | 275249 |
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