Gardner, S. Aurora

Gardner, S. Aurora is an individual health care provider with primary practice located at 1473 E State Road 44 Suite 4, Connersville IN 47331-8374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gardner, S. Aurora can be contacted via phone (765) 827-6612.

Contact Information

Primary practice address
1473 E State Road 44 Suite 4 Connersville IN 47331-8374
Fax: (765) 827-6910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01041571 Indiana

Profile Details

NPI number 1790768406
LBN Legal business name Gardner, S. Aurora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated May 13th, 2021 - about 4 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 1790768406 NPPES
Other 000000705719 ANTHEM
MEDICAID 100388460 ANTHEM

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