Gardiner, Thomas Kelsey
Gardiner, Thomas Kelsey is an sole proprietor health care provider with primary practice located at 7100 W Isanogel Rd , Muncie IN 47304-9307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Gardiner, Thomas Kelsey can be contacted via phone (765) 289-0939.Contact Information
Primary practice address
7100 W Isanogel Rd
Muncie IN 47304-9307
Phone: (765) 289-0939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01025352A | Indiana |
Profile Details
| NPI number | 1023101565 |
|---|---|
| LBN Legal business name | Gardiner, Thomas Kelsey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Feb 1st, 2016 - about 10 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 | 1023101565 | NPPES |
| Indiana | MEDICAID | 100105200A |
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