Gardner, Ross E

Gardner, Ross E is an sole proprietor health care provider with primary practice located at 401 Tuscaloosa Avenue Sw , Birmingham AL 35211-1486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gardner, Ross E can be contacted via phone (205) 780-9655.

Contact Information

Primary practice address
401 Tuscaloosa Avenue Sw Birmingham AL 35211-1486
Phone: (205) 780-9655
Fax: (205) 780-9623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 00011281 Alabama
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 11281 Alabama

Profile Details

NPI number 1770572810
LBN Legal business name Gardner, Ross E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Oct 8th, 2019 - about 6 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 1770572810 NPPES
Alabama MEDICAID 000013673

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