Gardner, Philip A
Gardner, Philip A is an individual health care provider with primary practice located at 101 Judge Tanner Blvd Ste 300 , Covington LA 70433-7506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Gardner, Philip A can be contacted via phone (985) 867-2128.Contact Information
Primary practice address
101 Judge Tanner Blvd Ste 300
Covington LA 70433-7506
Phone: (985) 867-2128
Fax: (985) 871-1548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 03988R | Louisiana |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 03988R | Louisiana |
Profile Details
| NPI number | 1952375487 |
|---|---|
| LBN Legal business name | Gardner, Philip A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 13th, 2023 - about last year |
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 | 1952375487 | NPPES |
| Louisiana | MEDICAID | 1319210 |
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