Gardner, Aaron R

Gardner, Aaron R is an individual health care provider with primary practice located at 518 S Washington Ave , Emmett ID 83617-3523. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gardner, Aaron R can be contacted via phone (208) 365-2024.

Contact Information

Primary practice address
518 S Washington Ave Emmett ID 83617-3523
Phone: (208) 365-2024
Fax: (208) 365-2046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIA-1434 Idaho

Profile Details

NPI number 1568763670
LBN Legal business name Gardner, Aaron R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Apr 5th, 2012 - about 14 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 1568763670 NPPES
Idaho Other 1678954 MEDICARE PTAN

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