Gardner, Thomas A

Gardner, Thomas A is an individual health care provider with primary practice located at 535 Barnhill Dr Rt 420, Indianapolis IN 46202-5112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gardner, Thomas A can be contacted via phone (317) 278-3434.

Contact Information

Primary practice address
535 Barnhill Dr Rt 420 Indianapolis IN 46202-5112
Phone: (317) 278-3434
Fax: (317) 274-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01051214A Indiana

Profile Details

NPI number 1376538066
LBN Legal business name Gardner, Thomas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jan 20th, 2021 - about 3 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 1376538066 NPPES
Indiana MEDICAID 200241600
Indiana Other 000000109044

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