Gardner, Jerad Michael
Gardner, Jerad Michael is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-7101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gardner, Jerad Michael can be contacted via phone (570) 271-6338.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-7101
Phone: (570) 271-6338
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | E7425 | Arkansas |
Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | N5684 | Texas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | E7425 | Arkansas |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | TMD004672 | Pennsylvania |
Profile Details
NPI number | 1568608651 |
---|---|
LBN Legal business name | Gardner, Jerad Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 20th, 2008 |
Last updated | May 28th, 2020 - about 5 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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