Gardner, John Clayton
Gardner, John Clayton is an sole proprietor health care provider with primary practice located at 1609 W 16Th St , Parker AZ 85344-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Independent Medical Examiner, which is considered as his primary health care specialty. Gardner, John Clayton can be contacted via phone (928) 669-2832.Contact Information
Primary practice address
1609 W 16Th St
Parker AZ 85344-6209
Phone: (928) 669-2832
Fax: (928) 669-2832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | 1444 | Arizona |
| Allopathic & Osteopathic Physicians / Independent Medical Examiner | 202C00000X | 0-39 | Idaho |
Profile Details
| NPI number | 1982806337 |
|---|---|
| LBN Legal business name | Gardner, John Clayton |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1982806337 | NPPES |
| Arizona | Other | 64737 | PROVIDER NUMBER |
| Arizona | Other | 026057 | PROVIDER NUMBER |
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