Gardner, Tara Lynn
Gardner, Tara Lynn is an individual health care provider with primary practice located at 813 Oak St Suite 7, Conway AR 72032-4473. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gardner, Tara Lynn can be contacted via phone (501) 329-2700.Contact Information
Primary practice address
813 Oak St Suite 7
Conway AR 72032-4473
Phone: (501) 329-2700
Fax: (501) 329-5282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1598 | Arkansas |
Profile Details
| NPI number | 1053373555 |
|---|---|
| LBN Legal business name | Gardner, Tara Lynn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Jan 28th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053373555 | NPPES |
| Arkansas | MEDICAID | 148126718 |
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