Gardner, Preston Alden
Gardner, Preston Alden is an sole proprietor health care provider with primary practice located at 7881 Carnegie Blvd , Fort Wayne IN 46804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Gardner, Preston Alden can be contacted via phone (260) 436-8000.Contact Information
Primary practice address
7881 Carnegie Blvd
Fort Wayne IN 46804
Phone: (260) 436-8000
Fax: (260) 432-5587
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101019137 | Michigan |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 02005587A | Indiana |
Profile Details
NPI number | 1861784449 |
---|---|
LBN Legal business name | Gardner, Preston Alden |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 13th, 2011 |
Last updated | Apr 17th, 2019 - about 5 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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