Gardner, Terri
Gardner, Terri is an individual health care provider with primary practice located at 620 S Laurel St , Pine Bluff AR 71601-4859. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gardner, Terri can be contacted via phone (870) 534-4900.Contact Information
Primary practice address
620 S Laurel St
Pine Bluff AR 71601-4859
Phone: (870) 534-4900
Fax: (870) 534-4906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1629474374 |
|---|---|
| LBN Legal business name | Gardner, Terri |
| Credentials | PLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2014 |
| Last updated | Nov 25th, 2015 - about 11 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 | 1629474374 | NPPES |
| Arkansas | MEDICAID | 180635526 |
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