Gardner, Michele Ann
Gardner, Michele Ann is an sole proprietor health care provider with primary practice located at 1542 W Maple Ave , Adrian MI 49221-1392. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gardner, Michele Ann can be contacted via phone (517) 266-0199.Contact Information
Primary practice address
1542 W Maple Ave
Adrian MI 49221-1392
Phone: (517) 266-0199
Fax: (517) 266-0196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MG055976 | Michigan |
Profile Details
| NPI number | 1346246154 |
|---|---|
| LBN Legal business name | Gardner, Michele Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Apr 30th, 2008 - about 18 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 | 1346246154 | NPPES |
| Michigan | MEDICAID | 4530060 | |
| Michigan | Other | 1604610281 |
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