Gardner, Ronald Shearer

Gardner, Ronald Shearer is an individual health care provider with primary practice located at 6 13Th Ave E , Polson MT 59860-5315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gardner, Ronald Shearer can be contacted via phone (406) 883-5680.

Contact Information

Primary practice address
6 13Th Ave E Polson MT 59860-5315
Phone: (406) 883-5680
Fax: (406) 883-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5117A Wyoming
Allopathic & Osteopathic Physicians / Surgery 208600000X 12233 Montana

Profile Details

NPI number 1881610863
LBN Legal business name Gardner, Ronald Shearer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 17th, 2013 - about 12 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 1881610863 NPPES
Wyoming Other 5117A PHYSICIAN LICENSE
Wyoming MEDICAID 107193900 PHYSICIAN LICENSE

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