Hardaway, Rickie

Hardaway, Rickie is an individual health care provider with primary practice located at 15865 Wyoming , Detroit MI 48238. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Hardaway, Rickie can be contacted via phone (313) 342-2576.

Contact Information

Primary practice address
15865 Wyoming Detroit MI 48238
Phone: (313) 342-2576
Fax: (313) 342-4486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 4301061729 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301061729 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301061729 Michigan

Profile Details

NPI number 1316903198
LBN Legal business name Hardaway, Rickie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 9th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316903198 NPPES
Michigan MEDICAID 4088160

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