Gardner, Lee S
Gardner, Lee S is an individual health care provider with primary practice located at 2725 Channing Way , Idaho Falls ID 83404-7510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gardner, Lee S can be contacted via phone (208) 525-8448.Contact Information
Primary practice address
2725 Channing Way
Idaho Falls ID 83404-7510
Phone: (208) 525-8448
Fax: (208) 525-8118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-359 | Idaho |
Profile Details
| NPI number | 1063589612 |
|---|---|
| LBN Legal business name | Gardner, Lee S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 7th, 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.
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