Gardner, Jordan
Gardner, Jordan is an individual health care provider with primary practice located at 3801 Bellemeade Ave Ste 110 , Evansville IN 47714-0111. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gardner, Jordan can be contacted via phone (812) 485-1814.Contact Information
Primary practice address
3801 Bellemeade Ave Ste 110
Evansville IN 47714-0111
Phone: (812) 485-1814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 244152 | Kentucky |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 41000353A | Indiana |
Profile Details
| NPI number | 1275984643 |
|---|---|
| LBN Legal business name | Gardner, Jordan |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2016 |
| Last updated | Dec 4th, 2020 - about 4 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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