Gardner, Megan E

Gardner, Megan E is an individual health care provider with primary practice located at 2400 Hospital Dr. Suite 120, Bossier City LA 71111-2386. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gardner, Megan E can be contacted via phone (318) 742-6710.

Contact Information

Primary practice address
2400 Hospital Dr. Suite 120 Bossier City LA 71111-2386
Phone: (318) 742-6710
Fax: (318) 747-5393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 202868 Louisiana

Profile Details

NPI number 1548471832
LBN Legal business name Gardner, Megan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Jan 31st, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548471832 NPPES
Louisiana MEDICAID 1000019
Louisiana MEDICAID 00001

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