Gardner, Diane
Gardner, Diane is an sole proprietor health care provider with primary practice located at 398 Blue Jay Dr , Liberty MO 64068-1977. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gardner, Diane can be contacted via phone (816) 407-2315.Contact Information
Primary practice address
398 Blue Jay Dr
Liberty MO 64068-1977
Phone: (816) 407-2315
Fax: (816) 407-1555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 01461 | Missouri |
Profile Details
| NPI number | 1699895219 |
|---|---|
| LBN Legal business name | Gardner, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Feb 27th, 2018 - about 8 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 | 1699895219 | NPPES |
| Missouri | MEDICAID | 466887825 |
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