Gardner, James Larimer

Gardner, James Larimer is an individual health care provider with primary practice located at 804 N Jefferson St , New Castle PA 16101-2164. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gardner, James Larimer can be contacted via phone (724) 652-3616.

Contact Information

Primary practice address
804 N Jefferson St New Castle PA 16101-2164
Fax: (724) 652-3879
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD014260E Pennsylvania

Profile Details

NPI number 1356348825
LBN Legal business name Gardner, James Larimer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 15 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 1356348825 NPPES
Pennsylvania MEDICAID 0010014600002

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