Gardner, Allen S.

Gardner, Allen S. is an individual health care provider with primary practice located at 6128 Brandon Ave Ste 201 , Springfield VA 22150-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gardner, Allen S. can be contacted via phone (703) 780-2800.

Contact Information

Primary practice address
6128 Brandon Ave Ste 201 Springfield VA 22150-2693
Phone: (703) 780-2800
Fax: (703) 780-0461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101018446 Virginia

Profile Details

NPI number 1144322090
LBN Legal business name Gardner, Allen S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Mar 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144322090 NPPES
Virginia Other 8132486 MAMSI
Virginia Other B3800003 MAMSI
Virginia Other 95009502 MAMSI
Virginia Other 088909 MAMSI
Virginia Other 4089095 MAMSI

Popular Providers