Gardner, John

Gardner, John is an individual health care provider with primary practice located at 1660 Veterans Memorial Blvd , Eupora MS 39744-2048. 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, John can be contacted via phone (662) 258-8147.

Contact Information

Primary practice address
1660 Veterans Memorial Blvd Eupora MS 39744-2048
Fax: (662) 258-8217
Website:

Health care specialties

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

Profile Details

NPI number 1215472717
LBN Legal business name Gardner, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 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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