Tardif, Donald B
Tardif, Donald B is an individual health care provider with primary practice located at 501 S Burma Ave , Gillette WY 82716-3426. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tardif, Donald B can be contacted via phone (307) 464-0413.Contact Information
Primary practice address
501 S Burma Ave
Gillette WY 82716-3426
Phone: (307) 464-0413
Fax: (307) 688-7965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 246 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 246 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 246 | Wyoming |
Profile Details
| NPI number | 1891887170 |
|---|---|
| LBN Legal business name | Tardif, Donald B |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Oct 14th, 2020 - 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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