Dr. Jacob Ross Gardner
Independent Medical Examiner
102 E Elm St
Lincoln
, Kansas 67455-2004
Dr. Jacob Ross Gardner
Independent Medical Examiner
102 E Elm St
Lincoln
, Kansas 67455-2004
(785) 524-4375
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About
Features
Specialties
- Independent Medical Examiner
Languages spoken
- English
Location
First Address
- Dr. Jacob Ross Gardner
- 102 E Elm St
- Lincoln, KS
- Zip : 67455-2004
- Fax : (785) 524-4375
- Phone : (785) 524-4371
Second Address
- Dr. Jacob Ross Gardner
- 102 E Elm St
- Lincoln, KS
- Zip : 67455-2004
- Fax : (785) 524-4375
- Phone : (785) 524-4371
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NI0013X | Independent Medical Examiner | T-02850 | KS |
National Provider Identifier
| NPI | 1497050959 |
|---|---|
| Provider Name | Dr. Jacob Ross Gardner |
| First Address | Lincoln, KS 67455-2004 |
| Second Address | Lincoln, KS 67455-2004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2011 |
| Last Update Date | 12/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.