DR. JACOB ROSS GARDNER D.C. - NPI 1497050959 - Chiropractor in Lincoln, KS

Q: What is Jacob Gardner's NPI number?

The NPI number for Jacob Gardner is 1497050959. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Q: What is Jacob Gardner's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Independent Medical Examiner, with taxonomy code 111NI0013X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Gardner was last updated on April 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Jacob Ross Gardner D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ROSS GARDNER D.C. (NPI 1497050959) is an individual independent medical examiner provider in Lincoln, Kansas, licensed in Kansas (T-02850) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1497050959

Entity TypeIndividualMale

Primary Taxonomy111NI0013X

Provider Legal NameDR. JACOB ROSS GARDNERCredential: D.C.

Location Address102 E ELM STLincoln, KS 67455-2004

Mailing Address102 E Elm StLincoln, KS 67455-2004 · (785) 524-4371 · Fax (785) 524-4375

Phone(785) 524-4371

Fax(785) 524-4375

Sole ProprietorYes

Enumeration DateJanuary 14, 2011

Last NPPES UpdateApril 12, 2012

✔ NPI 1497050959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Independent Medical ExaminerChiropractic Providers

Taxonomy Code111NI0013X

License✔ Licensed in KS · T-02850

Definition

A chiropractor and special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.

102 E ELM ST, Lincoln, KS 67455

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