Gardner, Peter
Gardner, Peter is an sole proprietor health care provider with primary practice located at 92 Jordan Ln , Stamford CT 06903-3914. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gardner, Peter can be contacted via phone (203) 940-2995.Contact Information
Primary practice address
92 Jordan Ln
Stamford CT 06903-3914
Phone: (203) 940-2995
Fax: (203) 547-6194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 024317 | Connecticut |
Profile Details
NPI number | 1972590578 |
---|---|
LBN Legal business name | Gardner, Peter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2005 |
Last updated | Mar 21st, 2016 - about 9 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 | 1972590578 | NPPES |
Other | 010027907CT01 | BC/BS ID # | |
Other | 25013 | BC/BS ID # | |
Other | 061246885 | BC/BS ID # | |
Other | 4125202 | BC/BS ID # | |
Other | 020183 | BC/BS ID # | |
Other | 024317 | BC/BS ID # |
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