Gardner, Jerry Ryan
Gardner, Jerry Ryan is an sole proprietor health care provider with primary practice located at 927 Cox Rd , Gastonia NC 28054-3455. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gardner, Jerry Ryan can be contacted via phone (704) 824-4463.Contact Information
Primary practice address
927 Cox Rd
Gastonia NC 28054-3455
Phone: (704) 824-4463
Fax: (704) 824-4676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3039 | North Carolina |
Profile Details
| NPI number | 1750344206 |
|---|---|
| LBN Legal business name | Gardner, Jerry Ryan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 7th, 2006 |
| Last updated | May 17th, 2010 - about 16 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 | 1750344206 | NPPES |
| North Carolina | MEDICAID | 89085FV |
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