Gardner, Timothy John

Gardner, Timothy John is an individual health care provider with primary practice located at 6120 N Mayfair St Suite 101, Spokane WA 99208-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gardner, Timothy John can be contacted via phone (509) 489-7483.

Contact Information

Primary practice address
6120 N Mayfair St Suite 101 Spokane WA 99208-1033
Phone: (509) 489-7483
Fax: (509) 489-4572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00019722 Washington

Profile Details

NPI number 1649269499
LBN Legal business name Gardner, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Jan 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649269499 NPPES
Other 10002943 BS OF IDAHO
MEDICAID 8457202 BS OF IDAHO
Other GA5801 BS OF IDAHO

Popular Providers